Many people think back pain is just a part of getting older, but be careful. If you are nearing age 60, back pain might be a sign of tiny cracks in the vertebrae of your spine. These small fractures can accumulate and cause a vertebra to collapse, known as a spinal compression fracture. Soft, weakened bones are at the core of the problem. Osteoporosis, particularly in women over 50 who have gone through menopause, leads to bone thinning and makes compression fractures more likely. When bones are brittle, the vertebrae can't support the spine during daily activities. Lifting objects, missing a step, slipping, or even coughing or sneezing can cause compression fractures. Multiple small compression fractures can change the spine's strength and shape, resulting in reduced height. Most compression fractures occur at the front of the vertebra, potentially leading to a stooped posture. Osteoporosis is the main cause of most spinal compression fractures. About two-thirds of these fractures are never diagnosed because many people think back pain is just aging or arthritis. However, untreated osteoporosis can lead to more fractures. Preventing compression fractures involves taking calcium and vitamin D supplements, quitting smoking, avoiding falls, and doing weight-bearing and strength-training exercises. Medications can also be taken to stop or slow down osteoporosis.