Bone Health · Compression Fractures · Osteoporosis
A bone doctor who not only treats your fracture, but also the root cause.
miiSpine delivers complete care for spinal compression fractures and osteoporosis — from in-office awake stabilization for immediate pain relief to a structured treatment program that protects against the next break.
Mortality within one year of a hip fragility fracture — a fragility fracture is a life-threatening event, not just a broken bone.
Of patients who suffer a fragility fracture are never evaluated or treated for the underlying osteoporosis.
Months you should wait for pain relief. Awake vertebral augmentation treats painful compression fractures in the office.
Why this matters
Osteoporosis is widely under-diagnosed and under-treated.
Most fragility fractures expose a problem that started long before the break. By the time a patient reaches the ER, the window to prevent the next fracture is already closing. miiSpine closes the gap.
DEXA alone doesn't diagnose osteoporosis.
A DEXA T-score is one input, not the whole picture. Bone quality, fracture history, FRAX risk, and imaging all matter. Relying on density alone misses patients who are actively fracturing at "normal" scores.
A fracture is the loudest symptom — and the most ignored.
The single strongest predictor of a future fracture is a past one. Yet the majority of fragility-fracture patients leave without an osteoporosis work-up or a treatment plan. We change that on the first visit.
"Wait six months and see" isn't a plan.
Patients with painful vertebral compression fractures are too often told to wait it out on bracing and opioids. Prolonged immobility accelerates bone loss, deconditioning, and decline.
Treatment without tracking is guesswork.
Starting therapy is step one. Knowing whether it's working — measurably, at each visit — is what actually prevents the next fracture. That's where AutoDensity comes in.
In-office awake surgery
Relief for painful compression fractures — without the wait.
For appropriate patients, vertebral augmentation is performed awake, in the office, under local anesthesia. Most patients walk out the same day with meaningful pain relief.
No hospital admission. No general anesthesia. No six-month waiting game.
- Same-day, in-office procedure under local anesthesia
- Rapid pain relief instead of months of bracing
- Avoids the risks of general anesthesia and hospitalization
- Gets patients moving again — protecting bone and function
- Paired immediately with osteoporosis work-up and treatment
See the procedure
What kyphoplasty looks like
A short overview of how vertebral augmentation stabilizes a compression fracture and relieves pain.
Illustrative only. AutoDensity is an opportunistic, post-processing tool that estimates spine BMD from EOSedge images; it does not replace DXA, and suspected low bone density should be confirmed by a DXA exam.
Imaging that does more
One low-dose scan. A fuller picture of the spine.
EOSedge captures full-spine, weight-bearing images in seconds at low radiation dose — and with AutoDensity, the same exam can opportunistically estimate vertebral bone mineral density. That means bone health can be assessed alongside the imaging patients already need, instead of as a separate trip.
Low-dose imaging
Full-spine and full-body capture in seconds, following the ALADA principle to minimize radiation.
Standing, weight-bearing
Images acquired in a natural standing position — how the spine actually loads.
AutoDensity BMD estimate
Opportunistic spine BMD estimation from the dual-energy image, available at the point of care.
Monitor over time
A consistent way to follow bone health at routine follow-up, supporting treatment decisions.
The osteoporosis treatment program
Treat the break. Then break the cycle.
Every compression-fracture patient enters a structured bone-health program — surgical and non-surgical — built to lower the risk of the next fracture, not just heal the current one.
Diagnosis beyond the T-score
We build a complete picture of bone health so treatment is matched to real risk.
- Full fracture-risk assessment (FRAX), not density alone
- Imaging review and fracture characterization
- Secondary-cause and lab work-up
- Personalized pharmacologic and non-surgical plan
A plan that adapts over time
Therapy is matched to risk, then followed with objective monitoring — including AutoDensity from EOSedge — so the plan can be adjusted based on real response.
- Surgical and non-surgical treatment of fractures
- Pharmacologic therapy tailored to fracture risk
- Bone health tracked at follow-up, not just at diagnosis
- Data-driven adjustments to lower future fracture risk
Get your patients back on their feet.
Refer a patient with a compression fracture or osteoporosis, or schedule a consultation. We coordinate evaluation, treatment, and monitoring under one roof.
Or visit miispine.com — 6420 Dutchmans Pkwy, Suite 160, Louisville, KY 40205
For referring providers
A direct path for fragility-fracture referrals.
Primary care, the ED, rheumatology, and chiropractic partners can refer directly. Your patient gets timely evaluation, in-office treatment options, and a monitored bone-health program — with clear communication back to you.