@mlaura1 if you have three spinal fractures I hope you can get a second opinion on treatment. I have several fractures and my doctor said he would never use Prolia. My doctors (2) have said that a bone building drug like Tymlos,Forteo or Evenity is needed in this situation. I am just another patient and repeating what I have been told. I hope you can discuss with a medical professional.

Some on this forum have described the "Prolia trap" due to rebound when it is stopped (loss of bone density, dramatic rise in fracture risk) and the only drug that manages that is Reclast. If you have had only one Prolia, then, according to Keith McCormick, author of "Great Bones" (please get that book!) you might be able to manage with Fosamax. Or even Evenity, depending on research and your doctor. You can research Prolia rebound.

The other point that is often made here and by my doctors is that Prolia (and Reclast) can reduce the effectiveness of the bone builders.

Maybe you have a special situation that accounts for this recommendation of Prolia. My doctors don't use it at all except for in situations where nothing else is possible.