Gentlemen, we have a graphic let’s take it right now if we can and walk us through it. Number one is not surprising at all, osteoporosis. Doctor Geronimo’s. > Yes. Osteoporosis brings it makes up the bulk of these fractures, you know, there’s over ten million patients with osteoporosis and in the United States annually and it’s it’s really the risk factors for osteoporosis are age gender women are significantly more prone and at a younger age your bone mineral density certain medications there’s a lot that goes into it. By far osteoporosis is your biggest risk factor for the cubic compresion. > I know for women that time of menopause is also very critical where you lose a lot of bone mass, right? > Absolutely. We do know that it is it is Astrid independent unfortunately they’ve done studies where with estrogen replacement it actually does not help. They found that the risk outweigh the benefits of using the estrogen for bone density. > All right and we have two more on that graphic which would want to show our viewers real quick, the next one was trauma, I believe, and then the third one finally was pathologic compression fracture. Would you like to chime in on that Dr.? > So trauma is very, very common. Actually patients that have just minor Falls it’s considered that the patient has had a trauma. Especially in patients that are osteoporotic if they have a fall that trauma can really can result in some significant compression fractures and results in severe pain. I’ve actually had younger patients that have had have had real traumas such as automobile accidents, boating accidents actually have one patient that came in with a plane accident one time I’d had a compression fracture as a result of that.