Percutaneous vertebral augmentation, including vertebroplasty and kyphoplasty, is controversial, but can be considered in patients with inadequate pain relief with nonsurgical care or when persistent pain substantially affects quality of life. Other conservative therapeutic options include limited bed rest, bracing, physical therapy, nerve root blocks, and epidural injections. Physicians must be mindful of medication adverse effects in older patients. Acute VCFs may be treated with analgesics such as acetaminophen, nonsteroidal anti-inflammatory drugs, narcotics, and calcitonin. More than two-thirds of patients are asymptomatic and diagnosed incidentally on plain radiography. Physical examination findings are often normal, but can demonstrate kyphosis and midline spine tenderness. Patients with an acute VCF may report abrupt onset of back pain with position changes, coughing, sneezing, or lifting. VCFs can lead to chronic pain, disfigurement, height loss, impaired activities of daily living, increased risk of pressure sores, pneumonia, and psychological distress. Fracture risk increases with age, with four in 10 white women older than 50 years experiencing a hip, spine, or vertebral fracture in their lifetime. Spine fusion surgery is usually the last line of treatment.Vertebral compression fractures (VCFs) are the most common complication of osteoporosis, affecting more than 700,000 Americans annually. Using bone graft as a bridge then screws and rods to form one stable segment reduces the pain in the spine.
Back bracing: The use of a back brace provides support and reduces motion of the injured vertebrae, giving the spine a chance to heal.Medication: We may provide analgesic medication to provide pain relief or medications that can help improve bone density.We first start with nonoperative options to provide pain management and treatment that allows healing to take place, including: We are leaders in minimally invasive spine care, including conservative treatment and endoscopic surgical techniques.
With an accurate diagnosis comes more precise treatment options.
#Back pain compression fracture treatment generator#
Our Personalized Pain Diagnostics (PPD) utilize proprietary diagnostic techniques as well as the latest technology to pinpoint your specific pain generator - whether it’s a vertebral compression fracture or another underlying condition. At DISC, our orthopedic surgeons will determine an accurate diagnosis so we can provide you with treatment options based on your condition. Many underlying spine conditions can lead to acute or chronic back pain, leaving patients wondering what could be the cause.
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