![]() ![]() Simple measures, such as a short period of rest and limited use of pain medications, are often all that is required. Osteoporosis treatment is crucial, as it has been found that more than 30% of people with a compression fracture in their spine are likely to sustain another fracture within a year.įortunately, most people who suffer a vertebral compression fracture get better within 3 months without specific treatment to repair the fracture. The DEXA results will help your doctor determine whether to treat your bone density loss with medications. ![]() The results of the DEXA will help your doctor estimate your risk for additional fractures in the spine and in other parts of your body. The extent of bone loss can be determined with Dual-Energy X-ray Absorptiometry (DEXA), a type of bone mineral density scan. Osteopenia is a forerunner to osteoporosis, in which the bone becomes much more fragile and prone to fractures. X-rays will often show thinning of the bone throughout the spine - a condition known as osteopenia, or low bone mass. When you have a vertebral compression fracture, it is important to assess whether you also have osteoporosis and, if so, how severe the condition is. It can help your doctor evaluate whether your fracture has extended into your spinal canal, where your spinal cord and nerve roots are located. A CT scan shows both soft tissue and bone. It can also sometimes show whether a fracture is acute or chronic.Ĭomputed tomography (CT) scan. A bone scan can pick up any abnormal activity in bone, including the presence of fractures. ![]() neurological disorders (e.g.In this MRI, the bright appearance of the fractured vertebra indicates edema, or inflammation, an indication of a new fracture.īone scan.dietary disorders (e.g., anorexia nervosa/bulimia, inadequate diet, total parenteral nutrition).liver diseases (e.g., biliary sclerosis, sclerosing cholangitis, alcoholic cirrhosis, autoimmune hepatitis).gastrointestinal diseases (e.g., inflammatory bowel disease, coeliac disease, malabsorption syndromes, post-bariatric surgery).endocrine disorders (e.g., hypogonadism, hyperparathyroidism, hyperprolactinaemia, acromegaly, hypercortisolism, hyperthyroidism).rheumatoid arthritis and other autoimmune connective tissue diseases.family history of low bone mass/osteoporotic fractures.previous osteoporotic vertebral compression fracture.: Vertebral fracture-dislocation the patient underwent posterior decompression and instrumented stabilisation Personal collection of Nasir A. : Burst fracture with large retropulsed fragment in spinal canal the patient underwent posterior decompression and stabilisation Personal collection of Nasir A. : Lateral radiograph showing a T12 compression fracture in osteoporotic bone Personal collection of Nasir A. This type of fracture is potentially unstable and requires surgical intervention. Rarely, osteoporotic compression fractures can also involve the middle and/or posterior spinal columns, in addition to the anterior column. Osteoporotic compression fractures of the spine: current options and considerations for treatment. These fractures are traditionally considered benign injuries that heal without complications. The stability of the spine is not compromised with this type of fracture. Most osteoporotic spinal compression fractures represent an isolated failure of the anterior spinal column due to a combination of flexion and axial compression loading. ![]()
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