Vertebral fractures, when sudden and severe, can be repaired using kyphoplasty, which has some inherent risks. I, too, have had four VF's, but after seeing a spine specialist, I came to understand that these fractures have healed all by themselves. Kyphoplasty must be done a short time post-fracture and before the bones have begun to heal.

Evenity has a 30% higher risk of heart failure, but not a 30% risk of heart failure. I have a few minor issues with my heart (valves) so my rheumatologist prescribed Tymlos first (which I didn't tolerate at all . . . the problems you mentioned, and more). Evenity is not recommended when the patient has had a cardiac event within the year following the administration of the drugs. That said, when Tymlos was no longer a feasible weapon for me, with my cardiologist's blessing, my doc prescribed Evenity. Of course, it is still a personal choice and a doc's recommendation to determine which med is best for your situation.

I'm sorry to hear about your issues, eileenvan, it takes a conscious effort to prevent vertebral fractures and sometimes they just happen without warning or cause.

As an aside, my new rheumatologist told me I have "severe OP" even though my DEXA numbers look pretty good. When he saw my sad face and booboo lip, he clarified the severe classification: Come to find out that anyone who has had a VF is automatically pushed into the severe category. Made me feel better I guess.

Tread safely, friends and sisters, until the weather warms a bit. I think the groundhog was wrong. Cheers!