Vertebral Compression Fractures

Vertebral Compression Fractures

A spinal fracture caused due to osteoporosis is referred to as compression fracture. As we grow older, our bones become brittle and they are at a high risk of breaking. Osteoporosis is a disease wherein the bones become weak and are likely to break. It is often left unnoticed for many years with no symptoms until a bone finally breaks.

Most of the fractures that occur as a result of osteoporosis are localised in the spine. These spinal fractures are called vertebral compression fractures. They are twice as common as other fractures linked to osteoporosis.

Osteoporosis is not the cause for all vertebral fractures. But a fracture occurs usually due to a weakened skeleton from osteoporosis.
According to the clinical guidelines provided by the National Institute for Health and Care Excellence, Osteoporosis fractures are those that occur due to the mechanical forces that would generally not result in a fracture.

What are the symptoms of Vertebral Compression Fractures?

Back pain 1
Sudden back pain
loss of height
Loss of 0.5 inch or more in height in one year
Acute pain
Acute pain
kyphosis
Exaggerated thoracic kyphosis
lordosis
Exaggerated lumbar lordosis
Weight loss
Weight loss
Sleep disorders
Sleep disorders
hunched posture
Stooped or hunched posture
Protuberant abdomen
Protuberant abdomen
Decreased respiratory capacity
Decreased respiratory capacity
Early satiety
Early satiety

Physical examination of the patient with diagnostic procedures is required to evaluate the abnormality in the spine.

The diagnostic tests

  • Xray
  • CT
  • MRI
  • BMD
  • DEXA scan
  • Physical therapy for safe mobility, fall prevention and discharge planning
  • Non Surgical Management
    • Pain management
    • Short term bracing
  • Skeletal Health
    • Evaluation (risk factor screening, labs)
    • Optimization of nutrients
    • Patient education
  • Surgical care
    • Percutaneous vertebroplasty/ Kyphoplasty
    • Decompression and fusion