Acromegaly is a rare endocrine disease that has been shown to be associated with an increased risk of vertebral fractures even in the presence of a relatively normal bone mineral density (BMD). These fractures do not only occur during the period of active acromegaly, but it has been shown that after remission of acromegaly patients continue to have an increased risk for new and progression of vertebral fractures, see a recent review [1]. …