What is the best treatment for backbone osteoporosis?

First identify what : The cause of bone loss is : secondary from thyroid disease, smoking, steroid use, renal disease, etc or primary osteoporosis . Treatment depends on cause but for primary treatment: adequate vitamin d &calcium intake, weight bearing exercise, stopping factors like smoking, & guided medication which are of several categories including Reclast (zoledronic acid) Prolia , Forteo as well as several new ones in pipeline.