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

Authors
Journal
Journal of Multidisciplinary Healthcare
1178-2390
Publisher
Dove Medical Press
Publication Date
Identifiers
DOI: 10.2147/jmdh.s31659
Keywords
  • Review
Disciplines
  • Medicine

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.

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