Because no single approach can guarantee the best surgical outcomes, customized surgical techniques are required. Despite the fact that the majority of OVFs heal without surgery, 15%–35% of patients with an unstable fracture, persistent intractable back pain, or severely collapsed vertebra that causes a neurologic deficit, kyphosis, or chronic pseudarthrosis frequently require surgery. Until more robust data are available, current evidence does not support the routine use of VA for OVF. There is still debate and controversy about the effectiveness of VA in comparison with conservative treatment. Numerous reports have been made on studies for vertebral augmentation (VA), including vertebroplasty and kyphoplasty. The treatment of pain includes short-term bed rest, analgesic medication, anti-osteoporotic medications, exercise, and a brace. Conservative treatment is the primary treatment option for OVFs. There are currently few “gold standard treatments” outlined for the management of OVFs in terms of quantity and quality. Osteoporotic vertebral fractures (OVFs) cause a variety of morbidities and deaths. Schedule an evaluation at CFRS today for an accurate diagnosis and treatment for spinal compression fractures or any of the other conditions we treat.A vertebral fracture is the most common type of osteoporotic fracture. If conservative management fails to relieve your symptoms adequately, our CFRS specialists may recommend a minimally invasive procedure such as vertebroplasty, kyphoplasty, or fusion to stabilize the spine. Oral medications to relieve pain and inflammation. Most compression fractures respond well to conservative therapies such as: Very rarely, spinal tumors or conditions such as multiple myeloma (a type of blood cancer) can weaken the spine and lead to compression fractures. Other causes of compression fractures include trauma related to a fall, car accident, or sports injury. Advanced osteoporosis can cause a compression fracture when you sneeze or roll over in bed. And because osteoporosis occurs more frequently in women than men, women are at a greater risk of developing a vertebral fracture.ĭepending on the level of osteoporosis you have, a vertebra can collapse with even normal activity, such as when bending over to pick something up or sitting down abruptly on a wooden or metal chair or bench. Osteoporosis, which causes your bones to lose density and strength, is the most common underlying cause of compression fractures. While less common, nerve pain and dysfunction radiating (traveling) into the hips, legs, shoulders, or arms can occur if the collapsed vertebral body protrudes into the spinal canal and presses on the spinal cord or nearby nerves as they exit the spine.
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