Hmmm, looks like alendronate does reduce the risk of fractures among postmenopausal women with osteoporosis. The Cochrane review says:
The best estimate of what happens to women that have already been diagnosed with low bone density or have already had a fracture in the bones of their spine:
Fracture of the spine
- 12 out of 100 women had a fracture when taking a placebo
- 6 out of 100 women had a fracture when taking alendronate
Fracture in the hip or wrist
- 2 out of 100 women had a fracture when taking a placebo
- 1 out of 100 women had a fracture when taking alendronate
Fractures in bones other than the spine
- 9 out of 100 women had a fracture when taking a placebo
- 7 out of 100 women had a fracture when taking alendronate
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