Osteoporotic Vertebral Compression Fracture - Spine - Orthobullets

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• usually not necessary for diagnosis

• very common fragility fractures of the spine

• affect up to 50% of people over 80

• radiographs

• observation and pain management

• Kyphoplasty is reserved for patients with recalcitrant symptoms after nonoperative treatment for 4-6 weeks fails

• the most common fragility fracture

• 25% people over 70 years 50% people over 80 years

• history of 2 VCFs is the strongest predictor of future vertebral fractures in postmenopausal women

• normal quality but decreased in quantity

• cortices are thinned

• cancellous bone has decreased trabecular continuity

• definition WHO defines osteoporosis as T score below -2.5

• Associated conditions compromised pulmonary function

• increased kyphosis can affect pulmonary function

• each VCF leads up to 9% reduction in FV increased risk of mortality from pulmonary dysfunction

• pain

• pain usually localized to area of fracture but may wrap around rib cage if dermatomal distribution

• focal tenderness

• local kyphosis