Primary Sj?gren's syndrome(pSS)is a systemic autoimmune disease that is prevalent in middle-aged and elderly women,characterized by dry mouth,dry eyes,fatigue,and joint pain.Nearly one-third pSS patients have been suffering with osteoporosis(OP),displaying symptoms of lumbago,back pain,and even fracture,all of which severely affect their life quality.Common risk factors for pSS and OP include gender and age,persistent state of inflammation,immune disorders,intestinal flora imbalance,vitamin D deficiency,dyslipidemia and sarcopenia.Meanwhile,the comorbidities of pSS,such as renal tubular acidosis,primary biliary cholangitis,autoimmune thyroid diseases,and drugs(glucocorticoids,methotrexate,and cyclophosphamide)are unique risk factors for pSS complicated with OP.Education,guidance of healthy lifestyle,and OP screening are recommended for bone management of pSS patients.Early detection and intervention are crucial for keeping bone health and life quality in pSS patients.