Keywords: compression fracture; consensus; osteoporosis; radiology; spine.
Vertebral fragility fractures are a common cause of morbidity in osteoporotic patients. Despite their association with a high risk of future fractures, significant morbidity and increased mortality after fracture, they often do not receive adequate attention from doctors, researchers or patients. Contributing factors include the improper application of current fracture classification systems and the overwhelming volume of imaging studies. The issue is further compounded by the absence of a universal consensus on the identification and grading of vertebral compres-sion fractures. Regular updates to the definitions of osteoporotic vertebral fractures are necessary as more sensitive and specific diagnostic methods emerge. Establishing a practical consensus is crucial for ensuring standardised reporting, equitable clinical trial assessments, accurate reimbursement and appropriate management.