Fragility fractures are the result of low-energy traumas in a bone with lower density and changes in its microarchitecture. A first fragility fracture generates between 50% to 100% probability of a second fracture, increasing the burden of morbidity and mortality of patients and their families. The risk of a second fracture is not prevented equally in all patients because the approach, diagnosis and treatment differ according to the location of the fractures. It is an observational study of analytical prevalence using the clinical records of the participating institution. Descriptive and bivariate analyzes of the information were performed. The data was collected in an Excel database and analyzed using the Jamovi 2.2.5 program. 825 patients with fragility fracture were identified, the median age was 74 years, 73.2% were women and 21.3% had a history of fragility fracture. The greatest request for paraclinical tests is made in patients with a proximal femur fracture and the initiation of supplementation and anti-osteoporotic treatment is greater in patients with a thoracolumbar spine fracture, followed by patients with a proximal femur fracture.