Family physicians can help patients prevent compression fractures by diagnosing and treating predisposing factors, identifying high-risk patients, and educating patients and the public about measures to prevent falls. Fracture and additional fractures can occur adjacent to the treatment site. During this procedure, bone cement is injected into the vertebral body. Interventional procedures such as vertebroplasty can be considered in those patients who do not respond to initial treatment. In VP, cement is injected percutaneously into the fractured vertebrae without an attempt at vertebral expansion, whereas in KP, a balloon is introduced and. Vertebroplasty is the most widely used method for treating osteoporotic vertebral compression fractures (OVCF). Traditional conservative treatment includes bed rest, pain control, and physical therapy. The purposes of this review are (1) to outline the epidemiology of VCFs as well as the physical morbidity and economic impact of these injuries, (2) to familiarize the reader with the best available evidence surrounding the operative and nonoperative treatment of VCFs, and (3) to examine the literature pertaining to the cost-effectiveness of sur. While the diagnosis can be suspected from history and physical examination, plain roentgenography, as well as occasional computed tomography or magnetic resonance imaging, are often helpful in accurate diagnosis and prognosis. More severe fractures can cause significant pain, leading to inability to perform activities of daily living, and life-threatening decline in the elderly patient who already has decreased reserves. The two most successful surgical treatment types for spinal compression fractures are: Kyphoplasty: Patients undergoing this minimally invasive surgery will have a thin tube called a catheter inserted in the back into the damaged vertebrae by their orthopedic surgeon. A fractured spine is a medical term for breaking any of your vertebrae, the 33 bones that make up your spinal column. Vertebral compression fractures usually are caused by osteoporosis, and range from mild to severe. If compression fractures fail to heal or if pain persists despite non-surgical measures, your doctor may recommend surgery as the next step toward relief. However, most patients with vertebral fractures are unaware that they have fractured as only 1/3 rd are clinically diagnosed. Compression fracture of the vertebral body is common, especially in older adults. Vertebral compression fractures are the most common osteoporotic fractures with an estimated 700,000 per year in the United States ( 1 ).
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