We examined the effect of alendronate treatment for 3–4 yr on risk of new fracture among 3658 women with osteoporosis enrolled in the Fracture Intervention Trial. This cohort included women with existing vertebral fracture and those with osteoporosis as defined by T score of less than −2.5 at the femoral neck but without vertebral fracture. All analyses were prespecified in the data analysis plan.
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