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“Introduction Osteoporotic fractures represent a major growing public health issue. The number of fractures in the elderly is expected to increase mainly due to the world’s ageing population . Bone mineral density (BMD) measured by dual energy X-ray absorptiometry (DXA) scan alone is not sufficient to provide an accurate prediction of fracture risk. Other clinical, non-BMD risk factors are known to be important for estimating an adequate probability of fracture [2, 3]. A previous fracture doubles the risk for future fractures and vertebral fractures quadruple this risk [4, 5] and even more so at short-term [6–10]. Recently, the World Health Organization developed a fracture risk assessment (FRAX) tool to evaluate the 10-year fracture risk of patients .