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Most vertebral compression fractures are a consequence of osteoporosis, are asymptomatic or minimally symptomatic and occur with no or minimal trauma.

Osteoporotic vertebral compression fractures (osteoporosis) are common in the thoracic spine (usually below T6) and of the lumbar spine, particularly in the vicinity of the T12-L1 junction. There seems to be no preliminarily trauma or only minimal trauma (eg. As a minor fall, sudden bending, lifting, coughing). Patients who had an osteoporotic vertebral fracture, have a higher risk of other vertebral and non-vertebral fractures.

Most vertebral compression fractures are a consequence of osteoporosis, are asymptomatic or minimally symptomatic and occur with no or minimal trauma. Osteoporotic vertebral compression fractures (osteoporosis) are common in the thoracic spine (usually below T6) and of the lumbar spine, particularly in the vicinity of the T12-L1 junction. There seems to be no preliminarily trauma or only minimal trauma (eg. As a minor fall, sudden bending, lifting, coughing). Patients who had an osteoporotic vertebral fracture, have a higher risk of other vertebral and non-vertebral fractures. Occasionally resulting compression or other vertebral fractures of significant force (for example, a motor vehicle crash, a fall from a height, a bullet wound). In such cases, the spinal cord is often violated (spinal injury) and the spine can be broken at> 1 point. If the cause was a fall or jump from a height, one or both heels can be crushed (calcaneus); 10% of all patients with a calcaneal fracture also have a thoracolumbare fracture (due to the axial force on the skeleton upon landing on the heel). Symptoms and complaints Osteoporotic vertebral fractures are asymptomatic or result only in loss of height or kyphosis at about two thirds of patients. In other patients, the pain can develop immediately or later. The pain may radiate to the abdomen. Radicular pain, weakness and reflex or sphincter abnormalities are rare. The pain usually takes about 4 weeks from and dissolves after about 12 weeks. Non-osteoporotic vertebral compression fractures cause acute pain, tenderness of the bone at the fracture site, and usually muscle spasms. Diagnostic X-rays Osteoporotic fractures are usually diagnosed by X-ray. Results are usually loss of vertebral height (especially> 6 cm) Reduced radiopacity loss of trabecular structure Anterior wedging Osteoporotic vertebral fractures are often diagnosed as incidental findings. If patients are not risk factors for osteoporosis (eg. As older age), these fractures are unlikely. Solitary fractures above BWK 4 should be more reminiscent of a cancer than an osteoporosis. If it is not known in patients that they have osteoporosis, a dual energy X-ray absorptiometry (DXA) should be performed. If osteoporosis is diagnosed, patients should be examined for causes of secondary osteoporosis (osteoporosis: More tests). If a significant trauma has occurred, a CT is performed to evaluate the entire spine and it will if neurological deficits or symptoms are present, an MRI of the corresponding section of the spinal cord performed (spinal trauma: diagnosis). If the cause was was a fall or jump from a height, doctors should check for calcaneal fractures and other spinal fractures. Vertebral compression fracture Image courtesy of Danielle Campagne, MD. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/vertebral_compression_fracture_high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/-/media/manual/professional/images/vertebral_compression_fracture_high_de.jpg?la = en & thn = 0 ‘, title:’ Vertebral compression fracture ‘, description:’ u003Ca id = “v37898314 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDiese lateral radiograph of the spine shows loss of height and anterior wedging due to a vertebral compression fracture u003c / p u003e u003c / div u003e ‘credits’. image courtesy of Danielle Campagne

Health Life Media Team

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