Vertebral Compression Fractures: Evaluation and Management

Madassery, Sreekumar

doi:10.1055/s-0040-1709208

Cited by 17 publications

(9 citation statements)

References 28 publications

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“…The effectiveness of vertebral body cementing for pain relief in OVCFs has been well documented 15,16 . Normally, an OVCF patient feels significant symptom alleviation after the surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

“…The effectiveness of vertebral body cementing for pain relief in OVCFs has been well documented. 15,16 Normally, an OVCF patient feels significant symptom alleviation after the surgical procedures. However, in CCOVCFs, patients might fail to recognize that there are pain relief intervals after vertebral body cementing, and might feel that they are in pain all the time.…”

Section: Discussionmentioning

confidence: 99%

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Chronologically clustered osteoporotic vertebral compression fractures: Analysis of a case series

Lui

et al. 2022

Geriatrics Gerontology Int

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Aim: To provide quality care to older adults, healthcare professionals should be aware that osteoporotic vertebral compression fractures (OVCFs) might occur sequentially in the same patient, involving different vertebral bodies, each separated by short intervals. This situation is called chronologically clustered OVCFs (CCOVCF).Methods: A total of 40 patients with CCOVCFs (index cohort) were retrospectively analyzed, and compared with 40 patients having only one OVCF (comparison cohort). All fractures were treated with percutaneous balloon kyphoplasty.Results: In the index cohort, the number of patients having the second, third, fourth and fifth OVCF events within 3 months were 40, 15, five and two, respectively. Recurring pain or seemingly non-stop pain were the major reasons why new OCVFs were found. The average interval between pain relief provided by percutaneous balloon kyphoplasty and radiographic diagnosis of new OVCFs was significantly longer than that between pain relief and a new episode of disabling pain (26.7 AE 16.8 vs 16.4 AE 15.8 days, P < 0.0001), reflecting how shortly new OCVFs occurred after successful surgery, and how often they were neglected. The mean T-score of the index cohort was significantly lower than that of the comparison cohort (À3.66 AE 0.79 vs À3.17 AE 0.80, P = 0.01).Conclusions: CCOVCFs make a patient seem constantly in pain, despite repeated admissions and operations. Recurrent symptoms after an effective procedure should be taken as a warning that a new OCVF might have occurred, even if only a few days apart. Advanced osteoporosis is a significant risk factor for CCOVCFs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Chronologically clustered osteoporotic vertebral compression fractures: Analysis of a case series

Lui

et al. 2022

Geriatrics Gerontology Int

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“…When the patient has lower extremity symptoms, if the patient's conditions permit, choosing decompression surgery may be a better choice. (24). For those older than 80, approximately 16% of men and 33% of women suffer from osteoporotic vertebral fractures 25 .…”

Section: Surgical Options and Prognosismentioning

confidence: 99%

“…In uence of different surgical methods on the treatment effect in severe/extreme stenosis group Due to the aging tendency of population, LCF's incidence is increasing rapidly. Approximately 1.5 million adults are affected by LCF each year in the United States24 . BMD gradually decreases with age, and almost half of normal axial bone mass is lost by age 80…”

mentioning

confidence: 99%

Correlation between lumbar vertebral compression fractures and lumbar spinal stenosis and the influence of surgical methods on prognosis

Zhu

Gao

Wang

et al. 2023

Preprint

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Study Design: Retrospective Cohort StudyOBJECTIVE We conducted a retrospective study to evaluate the correlation of lumbar compression fractures (LCF) and lumbar spinal stenosis (LSS) ,and to explore the clinical outcomes of different surgical methods.METHODS A total of 134 eligible patients were divided into minor/moderate stenosis and severe/extreme stenosis groups .We counted the patients' age, sex, BMI, BMD, history of hypertension, diabetes, rheumatism and hormone used, symptom duration and history of trauma. The LLA, PI, lumbar spondylolisthesis, LSI(lumbar stenosis indexes) and fracture grades were calculated. The preoperative VAS, ODI and JOA scores of the patients were surveyed, and the clinical outcomes were followed up by telephone.RESULTS There is a clear correlation between the degree of LSS and the degree of fracture(r = 0.532,P < 0.0001). Severe/extreme stenosis groups was higher in BMI, proportion of trauma and lower extremity symptoms(P = 0.038, P = 0.023, P = 0.005) and lower PI(P < 0.001).There was no statistical difference in the improvement of VAS, ODI and JOA between different surgical methods (P = 0.093, P = 0.545, P = 0.576).Furthermore, for patients with preoperative lower extremity symptoms, the prognosis of decompression surgery is better than that of non-decompression surgery(improvement of VAS ,ODI ,JOA :P = 0.042, 0.032, 0.597,respective).CONCLUSIONS There is a clear correlation between LCF and LSS. For patients with severe LCF, it is necessary to perform relevant imaging examinations and pay attention to whether LSS is combined, especially for patients with trauma, obesity or low PI. If the patient has lower extremity symptoms, decompression surgery can be considered if the patient's general condition permits.

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“…Vertebral fragility fractures are usually stable without involvement of the posterior vertebral arch and injury to the spinal cord is uncommon [ 13 ]. Two-thirds of patients will have spontaneous resolution of pain in 3–6 weeks and initial management is non-operative with pain management and bracing [ 2 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Pharmacological options for pain control in patients with vertebral fragility fractures

Tanna

Ong

2022

Osteoporosis and Sarcopenia

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Vertebral Compression Fractures: Evaluation and Management

Cited by 17 publications

References 28 publications

Chronologically clustered osteoporotic vertebral compression fractures: Analysis of a case series

Chronologically clustered osteoporotic vertebral compression fractures: Analysis of a case series

Correlation between lumbar vertebral compression fractures and lumbar spinal stenosis and the influence of surgical methods on prognosis

Pharmacological options for pain control in patients with vertebral fragility fractures

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