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Guidelines for the management of fractures. A fragility fracture requires the measurement of bone mineral density and a deep analysis of mineral metabolism markers. The first step aims to rule out an osteomalacia with the use of bone biomarkers and if possible a bone biopsy. Guidelines are proposed as a function of PTH levels. Reduction of PTH should be achieved before the introduction of any anti-resorbing agents. BSAP bone-specific alkaline phosphatase
