Vertebral compression fractures: a review of current management and multimodal therapy

• Main Authors: Wong CC, McGirt MJ
• Format: Article
• Language: English
• Published: Dove Medical Press 2013-06-01
• Series: Journal of Multidisciplinary Healthcare
• Online Access: http://www.dovepress.com/vertebral-compression-fractures-a-review-of-current-management-and-mul-a13382

Cyrus C Wong, Matthew J McGirt Vanderbilt University Medical Center, Nashville, TN, USA Abstract: Vertebral compression fractures are a prevalent disease affecting osteoporotic patients. When symptomatic, they cause significant pain and loss of function and have a high public health impact. In this paper we outline the diagnosis and management of these patients, with evidence-based review of treatment outcomes for the various therapeutic options. Diagnosis involves a clinical history focusing on the nature of the patient's pain as well as various imaging studies. Management is multimodal in nature and starts with conservative therapy consisting of analgesic medication, medication for osteoporosis, physical therapy, and bracing. Patients who are refractory to conservative management may be candidates for vertebral augmentation through either vertebroplasty or kyphoplasty. Keywords: vertebral compression fractures, osteoporosis, bracing, vertebroplasty, kyphoplasty