The primary objective of this study was to ascertain the prevalence of vertebral fractures among postmenopausal Indian women. The study involved the assessment of chest radiographs from a consecutive cohort of Indian women aged over 50 years who presented at a tertiary care Indian Hospital. Among the 456 radiographs that were meticulously analyzed, it was revealed that a substantial portion of patients displayed vertebral fractures. The average age of the women included in the study was determined to be 66.9 years, with a standard deviation of 7.8 years. Notably, a mere 12.3% of the women who exhibited vertebral fractures were found to be under antiresorptive therapy, a treatment strategy employed for managing osteoporosis. These findings underscore the potential underdiagnosis of vertebral fractures in radiological reports and the relatively low utilization of antiresorptive therapy in affected individuals.