Follow-up for the complications of osteoporosis as it affects the spine. Mrs Smith had a 6-month history of progressive disabling back pain visibly associated with progressive kyphotic deformity of the thoracolumbar spine, with an attendant cervical lordosis. X-rays of the thoracic spine reveal a compression fracture of T11 and L1. I advised the patient that such fractures, even without trauma, may be complications of underlying osteoporosis as severe as hers. Which term best describes Mrs Smith’s condition? a. Osteoarthritis b. Gouty arthritis c. Osteomalacia d. Osteopenia