Fragility fractures are those that occur by low energy trauma in people with decreased bone mineral density due to their age. It was intended to know the rate of onset of hospital treatment for osteoporosis in patients with the onset of fragility fractures. Methodology: A descriptive study with analytical component was performed including a group of patients treated at the institution for new fragility fractures, and we establish associated factors to non-initiation of hospital treatment, the risk of requiring hospitalization and mortality. Results: 180 patients were selected by random sampling. The age group with the highest frequency of fractures was between 70 and 74. The factor associated mortality was the age older than 80 years old (p 0.01). Other factors showed no association. Discussion: Currently in Colombia, there are guidelines aimed to detect osteoporosis patients at the hospital to start early treatment in patients with fragility fractures and they are not being followed. There is a special need to aware all health personnel for a timely and interdisciplinary management of this pathology.