Vertebral compression fracture

From WikiMD's Food, Medicine & Wellness Encyclopedia

Vertebral Compression Fracture is a medical condition characterized by the collapse of a vertebra in the spine. It is commonly associated with osteoporosis, a disease that weakens bones, making them fragile and more likely to break. However, vertebral compression fractures can also result from traumatic injury or as a complication of certain diseases like cancer that may affect spinal bones.

Causes[edit | edit source]

The primary cause of vertebral compression fractures is osteoporosis. This condition leads to a decrease in bone density and strength, significantly increasing the risk of fractures. Other causes include:

  • Trauma or injury, such as a fall or car accident
  • Cancer that has metastasized to the bones, weakening them
  • Prolonged use of corticosteroids, which can decrease bone density

Symptoms[edit | edit source]

Symptoms of a vertebral compression fracture may vary depending on the severity of the fracture but often include:

  • Sudden onset of back pain
  • Pain that worsens with standing or walking and decreases when lying down
  • Limited spinal mobility
  • Height loss
  • Deformity and curvature of the spine

Diagnosis[edit | edit source]

Diagnosis of a vertebral compression fracture typically involves a medical history review and physical examination, followed by imaging tests such as:

  • X-rays, to detect the presence of a fracture
  • MRI (Magnetic Resonance Imaging), to provide detailed images of the bones and soft tissues, including any changes to the bone's integrity or signs of tumor
  • CT scan (Computed Tomography), to give a more detailed view of the bone and spinal structure

Treatment[edit | edit source]

Treatment for vertebral compression fractures aims to relieve pain, stabilize the spine, and restore mobility. Options include:

  • Pain management with medications such as analgesics and anti-inflammatory drugs
  • Physical therapy to strengthen the muscles around the spine, improve posture, and increase mobility
  • Vertebroplasty and kyphoplasty, minimally invasive procedures that involve injecting bone cement into the fractured vertebra to stabilize it
  • Surgical intervention in severe cases, such as spinal fusion surgery

Prevention[edit | edit source]

Preventing vertebral compression fractures primarily involves addressing osteoporosis and improving bone density through:

  • Adequate intake of calcium and vitamin D
  • Regular weight-bearing and muscle-strengthening exercises
  • Medications to improve bone density in individuals with osteoporosis
  • Avoidance of smoking and excessive alcohol consumption

Complications[edit | edit source]

If left untreated, vertebral compression fractures can lead to chronic pain, decreased mobility, deformity, and potentially serious complications such as spinal cord compression.

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Contributors: Prab R. Tumpati, MD