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Vertebral Compression Fracture


Presentation

  • Herein, we present 3 new cases of AL amyloidosis with spontaneous vertebral compression fracture and review 13 cases retrieved from the literature.[ncbi.nlm.nih.gov]
  • A CT of the pulmonary arteries during an unrelated hospital admission less than two weeks after initial presentation revealed a compression fracture at T7. Pain report was unchanged except for an increase in intensity.[ncbi.nlm.nih.gov]
  • STUDY DESIGN: A case of vertebral body fracture due to metastatic breast cancer in a male patient and a review of the literature are presented.[ncbi.nlm.nih.gov]
  • A 62-year-old woman presented with a severe pain in the lower back, which started after she slipped. A radiograph showed severe vertebral collapse with a vertebral vacuum cleft in the T12 vertebral body.[ncbi.nlm.nih.gov]
  • The purpose of this paper is to discuss five cases of L5 vertebral compression fracture (VCF), illustrating the epidemiology, clinical presentation and radiographic appearance of the fracture at this uncommon site.[ncbi.nlm.nih.gov]
Severe Pain
  • We report a patient who presented with a severely destructive lesion and compression fracture at T9 with severe pain and impaired mobility.[ncbi.nlm.nih.gov]
  • Percutaneous vertebroplasty (PVP) is a minimally invasive procedure, primarily used in patients with severe pain after VCF.[ncbi.nlm.nih.gov]
  • A 62-year-old woman presented with a severe pain in the lower back, which started after she slipped. A radiograph showed severe vertebral collapse with a vertebral vacuum cleft in the T12 vertebral body.[ncbi.nlm.nih.gov]
  • Surgery is normally reserved for those with severe pain, weakness, or inability to feel their arms or legs.[emedicinehealth.com]
Unable to Bend
  • Later symptoms may include: Slowly worsening back pain — lying on your back may relieve the pain and standing may make it worse A decrease in your height Limited movement in your spine (unable to bend or twist) A stooped-over posture, called kyphosis.[cedars-sinai.org]
Amyloidosis
  • Primary immunoglobulin light chain amyloidosis (AL amyloidosis) is a plasma cell disorder which mainly affects heart, kidneys, liver, and peripheral nervous system.[ncbi.nlm.nih.gov]
Constipation
  • Despite the appearance of weight gain, the compression of the stomach causes weight loss, constipation and other problems. The crowding of internal organs can be very serious, even affecting lung function.[atlantaspineinstitute.com]
  • This includes: liver or kidney damage, gastrointestinal bleeding, constipation, or narcotic dependence.[fairview.org]
  • These fractures can result in other complications, however, such as: Reduced spinal range-of-motion Lung disorders, such pneumonia or a collapsed lung Crowding of internal organs Constipation Bowel obstruction Progressive muscle weakness Deep venous thrombosis[paindoctor.com]
  • […] is needed to avoid problems with kidneys and stomach Should not be taken for long periods if possible Opiates (medications related to morphine) These are very strong painkillers Available only on prescription Can cause drowsiness, confusion, falls, constipation[bsir.org]
Back Pain
  • The possible etiology like osteoporosis or cancer metastasis should be included as a possibility in the differential diagnosis for severe back pain, to prevent delays in diagnosis and treatment.[ncbi.nlm.nih.gov]
  • VAS score for back pain and ODI were assessed at enrollment as well as at 2, 6, and 12 weeks after fracture.[ncbi.nlm.nih.gov]
  • We treated her back pain with analgesics and a thoracolumbosacral orthosis. After 2 weeks, her back pain had decreased, and she was discharged. Before removal of instrumentation, we verified complete union using computed tomography.[ncbi.nlm.nih.gov]
  • Kyphoplasty was performed in two patients with OVCF that had persistent back pain despite a course of conservative care. Immediately following BKP, both patients had a marked improvement in back pain.[ncbi.nlm.nih.gov]
  • The change of BME extent in the treated level is unrelated to the relief of back pain after KP.[ncbi.nlm.nih.gov]
Low Back Pain
  • Compression fractures at the L5 level are rare; however, this problem should be considered in postmenopausal women who suffer from low back pain and in young men with a history of trauma.[ncbi.nlm.nih.gov]
  • Evaluation of clinical data was based on x-ray, Japanese Orthopaedic Association (JOA) score for low back pain (full score is 29 points), and Visual Analog Scale (VAS).[ncbi.nlm.nih.gov]
  • Prevalence of and Screening for Serious Spinal Pathology in Patients Presenting to Primary Care Settings With Acute Low Back Pain . Arthritis & Rheumatism . 2009; 60(10): 3072–3080. 2. Roman M, Brown C, Richardson W, Isaacs R, Howes C, Cook CE.[snyderphysicaltherapy.com]
  • Vertebral fractures may appear as low back pain, loss of height, or spinal deformities such as kyphosis. Symptoms can be damaging to a patient’s quality of life.[my.clevelandclinic.org]
Acute Low Back Pain
  • Prevalence of and Screening for Serious Spinal Pathology in Patients Presenting to Primary Care Settings With Acute Low Back Pain . Arthritis & Rheumatism . 2009; 60(10): 3072–3080. 2. Roman M, Brown C, Richardson W, Isaacs R, Howes C, Cook CE.[snyderphysicaltherapy.com]
  • Prevalence of and screening for serious spinal pathology in patients presenting to primary care settings with acute low back pain. Arthritis Rheum. 2009;60(10):3072–80. pmid:19790051 View Article PubMed/NCBI Google Scholar 33.[journals.plos.org]
  • Tapentadol immediate release versus oxycodone immediate release for treatment of acute low back pain. Pain Physician 2013; 16 ( 3 ):E237–E246 [ PubMed ] [ Google Scholar ] 22. Ballantyne JC, Mao J. Opioid therapy for chronic pain.[ncbi.nlm.nih.gov]
Spine Pain
  • Peter Staats, National Spine & Pain Centers’ Chief Medical Officer, received the Lifetime Achievement Award at the 2019 Annual North American Neuromodulation Society (NANS) conference held January 17–20,… Read More Our team recently received an amazing[treatingpain.com]
  • Doctors also check for other injuries, such as heel fractures and additional fractures in the spine.[merckmanuals.com]
Decrease in Height
  • The damaged vertebrae will decrease in height due to the fracture, and must decrease by at least 15% in order to be considered a VCF.[spineina.com]
Flank Pain
  • Abstract Rib fractures are one of main causes of chest or flank pain when related to an osteoporotic vertebral compression fracture (OVCF).[ncbi.nlm.nih.gov]
Convulsions
  • Nocturnal vertebral compression fractures may be the presenting feature of unwitnessed convulsive seizures, and evaluation for epilepsy should be considered in cases of idiopathic vertebral compression fractures.[ncbi.nlm.nih.gov]

Treatment

  • This study aimed to examine the safety and effectiveness of surgical management for treatment of VCFs with osteopenia compared with non-surgical treatment.[ncbi.nlm.nih.gov]
  • METHODS: A total of 98 patients undergoing non-operative treatment for recent single-level OVCF were reviewed retrospectively.[ncbi.nlm.nih.gov]
  • CONCLUSION: Kyphoplasty is an effective and minimally invasive procedure for the treatment of vsOVCF.[ncbi.nlm.nih.gov]
  • Radiation therapy is the standard treatment for patients with spinal metastases. However, this may not be the optimal treatment by itself for some patients when immediate pain relief is desirable.[ncbi.nlm.nih.gov]
  • (percutaneous vertebroplasty (PVP)、balloon kyphoplasty (BK) and conservative treatment (CT)).[ncbi.nlm.nih.gov]

Prognosis

  • These cases are often characterized by indicators of good prognosis and show a relatively good treatment outcome.[ncbi.nlm.nih.gov]
  • Non-adjacent multiple fractures in both thoracic and lumbar spines and fractures not identified definitely by plain radiography were detected on bone scans, which provided a means for determining management strategies and predicting prognosis.[ncbi.nlm.nih.gov]
  • Outlook (Prognosis) Most compression fractures from trauma will heal in 8 - 10 weeks with rest, bracing, and pain medications. Recovery time will be many weeks longer if surgery is necessary.[gatewaypain.com]
  • Outlook (Prognosis) Most compression fractures due to injury heal in 8 to 10 weeks with rest, wearing of a brace, and pain medicines. However, recovery can take much longer if surgery was done.[mountsinai.org]
  • […] bladder Severe pain, numbness, or weakness High fever While a diagnosis can usually be made through history and a physical examination, plain x-rays, computed tomography (CT) or magnetic resonance imaging (MRI) can help in confirming diagnosis, predicting prognosis[aans.org]

Etiology

  • The possible etiology like osteoporosis or cancer metastasis should be included as a possibility in the differential diagnosis for severe back pain, to prevent delays in diagnosis and treatment.[ncbi.nlm.nih.gov]
  • […] fracture of unspecified lumbar vertebra, initial encounter for open fracture see all Compression fracture ICDF-10 coding Compression Fractrue ICD-9 805.4 (Fracture of vertebral column without spinal cord injury (lumbar, closed) Compression Fractrue Etiology[eorif.com]
  • Patients with lumbar compression fractures usually present with kyphotic posture that is unlikely to be corrected, hip flexor contractures, and moderate pain at the level of the fracture. 3 Potential Etiologies The following are types of fractures that[morphopedics.wikidot.com]
  • The lumbar disk works as a cushion for the mechanical loads. [5] Epidemiology /Etiology Most of the time the compression fractures are caused by trauma, osteoporosis, infection and neoplasm. [2] [6] [7] As mentioned before, most of the fractures occur[physio-pedia.com]

Epidemiology

  • The purpose of this paper is to discuss five cases of L5 vertebral compression fracture (VCF), illustrating the epidemiology, clinical presentation and radiographic appearance of the fracture at this uncommon site.[ncbi.nlm.nih.gov]
  • […] of unspecified lumbar vertebra, initial encounter for open fracture see all Compression fracture ICDF-10 coding Compression Fractrue ICD-9 805.4 (Fracture of vertebral column without spinal cord injury (lumbar, closed) Compression Fractrue Etiology / Epidemiology[eorif.com]
  • Epidemiology of vertebral fractures in women. Am J Epidemiol. 1989;129(5):1000–11. pmid:2784934 View Article PubMed/NCBI Google Scholar 4. Cooper C, O'Neill T, Silman A. The epidemiology of vertebral fractures.[journals.plos.org]
  • ., Melton L.J. 3rd, "The worldwide problem of osteoporosis: insights afforded by epidemiology," Bone, 1995, 17(5 Suppl): p. 505S-511S. Melton L.J. 3rd., "Epidemiology of spinal osteoporosis," Spine, 1997;22:2S-11S.[spine-health.com]
Sex distribution
Age distribution

Pathophysiology

  • In this Review, we summarise the evidence and predictive factors for VCF induced by spinal SBRT, review the pathophysiology of VCF in the metastatic spine, and discuss strategies used to prevent and manage this potentially disabling complication.[ncbi.nlm.nih.gov]
  • The pathophysiology of this injury pattern is dependent on the axis of flexion. Several subtypes exist, and each is dependent on the axis of flexion and on the number and degree of column failure.[emedicine.medscape.com]

Prevention

  • Teriparatide was better than alendronate at improving bone mineral density and bone turnover parameters, as well as preventing aggravation of spinal cord compromise.[ncbi.nlm.nih.gov]
  • The possible etiology like osteoporosis or cancer metastasis should be included as a possibility in the differential diagnosis for severe back pain, to prevent delays in diagnosis and treatment.[ncbi.nlm.nih.gov]
  • In this Review, we summarise the evidence and predictive factors for VCF induced by spinal SBRT, review the pathophysiology of VCF in the metastatic spine, and discuss strategies used to prevent and manage this potentially disabling complication.[ncbi.nlm.nih.gov]
  • Prevention Building strong bones will help prevent fractures. However, most bone strength is attained by women before they are 25 years old. That makes maintaining bone density and strength at older ages even more important.[uvahealth.com]
  • Back to top Prevention and treatment of VCF Prevention and treatment of osteoporosis Treatment of tumours Pain relief for VCF Back to top Prevention and treatment of osteoporosis Osteoporosis is one of the main causes of VCF but not everyone with osteoporosis[bsir.org]

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