![]() ![]() X-ray of the spine: X-ray helps to locate the site where the vertebra is broken.Some of the diagnostic tests that may be recommended include: Your doctor will make a diagnosis and determine the cause of pain based on your complete medical history and a physical examination. The pain will be milder in cases of osteoporotic fractures. If the spinal nerves have been injured, there may be associated with numbness and a feeling of weakness. The symptoms of a compression fracture include severe pain in the back, arms, and legs. Cancer leads to the destruction of part of the vertebra thus weakening the spine. ![]() Metastatic spread of cancer to the bones of the spine is another cause of vertebral fractures. Traumatic injury to the spine such as from a fall or motor vehicle accident can also cause fractures. This is a condition that makes the bones weak and unable to sustain normal pressure. Most commonly, these fractures occur in the thoracic or the middle portion of the spine.Ī common cause of compression fracture in the spine is osteoporosis. ![]() PMID 21637959.A compression fracture of the vertebra occurs when the bones of the spine (vertebrae) collapse. "Percutaneous vertebroplasty versus balloon kyphoplasty for treatment of osteoporotic vertebral compression fracture: A meta-analysis of randomised and non-randomised controlled trials". ^ Han, Shiliang Wan, Shuanglin Ning, Lei Tong, Yongjun Zhang, Jianfeng Fan, Shunwu (2011)."Balloon kyphoplasty and vertebroplasty in the management of vertebral compression fractures". "Balloon kyphoplasty in the management of vertebral compression fractures: An updated systematic review and meta-analysis". "Balloon Kyphoplasty and Vertebroplasty for Vertebral Compression Fractures". "Calcitonin for treating acute pain of osteoporotic vertebral compression fractures: A systematic review of randomized, controlled trials". ^ "Calcitonin for osteoporotic fractures".The Journal of the American Board of Family Medicine. "Kummel Disease: A Not-So-Rare Complication of Osteoporotic Vertebral Compression Fractures". Philadelphia: Lippincott Williams & Wilkins. Fundamentals of Diagnostic Radiology (3rd ed.). "Rounds 2: Treatment of Metastatic Bone Disease". When a tumor is suspected as the underlying cause, or the fracture was caused by severe trauma, CT or MRI scans may be performed. In addition, bone density measurement may be performed to evaluate for osteoporosis. Diagnosis Ĭompression fractures are usually diagnosed on spinal radiographs, where a wedge-shaped vertebra may be visible or there may be loss of height of the vertebra. Compression fractures which develop gradually, such as in osteoporosis, may initially not cause any symptoms, but will later often lead to back pain and loss of height. Signs and symptoms Īcute fractures will cause severe back pain. Seen in lateral views in plain x-ray films, compression fractures of the spine characteristically appear as wedge deformities, with greater loss of height anteriorly than posteriorly and intact pedicles in the anteroposterior view. In healthy patients, it is most often seen in individuals suffering extreme vertical shocks, such as ejecting from an ejection seat. This weakening is seen in patients with osteoporosis or osteogenesis imperfecta, lytic lesions from metastatic or primary tumors, or infection. It may be due to trauma or due to a weakening of the vertebra (compare with burst fracture). Example of vertebral compression fracture.Ī compression fracture is a collapse of a vertebra.
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