Vertebral Compression Fracture
(Fracture, Vertebral Compression)
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- Osteoporosis —a condition of weakened bones
- A blow to the back
- Falling down
- Landing on your heels when jumping from a height
- Having major trauma such as a motor vehicle accident
- Use of antipsychotic medications
- Proton pump inhibitors
- Poor mental functioning
- Poor mobility
- Poor strength
- Previous vertebral fracture within the last year
- Mild to severe pain in the middle or lower back
- Numbness, tingling, or weakness
- Difficulty walking
- Loss of control of the bowel or bladder
- A brief period of bed rest and a decrease in activity
- Medication to control the pain
- Strengthening exercises for your back muscles
- A back brace
Treatment for Osteoporosis
- Estrogen/progesterone hormone replacement therapy
- Bisphosphonates to prevent loss of bone mass
- Estrogen agonist/antagonist to treat weak or thin bones
- Calcitonin to regulate calcium levels in the body
- Parathyroid hormone to regulate calcium and phosphate levels in the body
- Get plenty of weight-bearing exercise. This includes walking, jogging, or sports such as tennis.
- Do resistance exercises for arms and legs. This will help to improve your strength and balance.
- Get plenty of calcium, vitamin D, and protein in your diet. Talk to your doctor if you think you need supplements .
- If you have osteoporosis, you should talk to your doctor about treatment options. If you had an early menopause , talk to your doctor about this.
- If you smoke , talk to your doctor about ways to quit.
- Drink alcohol only in moderation. Moderate alcohol intake is 2 drinks per day for men and 1 drink per day for women.
- Remove any obstacles in your home that could cause you to fall. These may include throw rugs or furniture.
National Institutes of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov
National Osteoporosis Foundation http://www.nof.org
Canadian Orthopaedic Association http://www.coa-aco.org
Women's Health Matters http://www.womenshealthmatters.ca
Bone basics. National Institutes of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Bone/Bone%5FBasics. Accessed November 25, 2013.
Buchbinder R, Osborne RH, et al. A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. NEJM. 2009;361(6):557-568.
Committee on Practice Bulletins-Gynecology, The American Congress of Obstetricians and Gynecologists. ACOG Practice bulletin 129. Osteoporosis. Obstet Gynecol. 2012;120(3):718-734. Reaffirmed 2014.
Kallmes DF, Comstock BA, et al. A randomized trial of vertebroplasty for osteoporotic spinal fractures. NEJM. 2009;361(6):569-579.
Sweet MG, Sweet JM. Diagnosis and treatment of osteoporosis. Am Fam Physician. 2009;79(3):193-200.
Ullom-Minnich P. Prevention of osteoporosis and fractures. Am Fam Physician. 1999;60(1):194-202.
Wardlaw D, Cummings SR, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. Lancet. 373(9668):1016-1024.
11/9/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Buchbinder R, Osborne RH, Ebeling PR, et al. A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med. 2009;361(6):557-568.
- Reviewer: Michael Woods, MD
- Review Date: 12/2014 -
- Update Date: 12/20/2014 -