Vertebral fracture status and the World Health Organization risk factors for predicting osteoporotic fracture risk in Japan

► We used a population-based community cohort in Hiroshima, Japan. ► We evaluated fracture risk in a four-year prospective study. ► Age, BMD, prior clinical fracture and morphometric vertebral fracture predicted future fracture simpler and better than using the FRAX. ► Our findings provide a practical approach for utilizing information regarding morphometric vertebral fracture.