www.orthobullets.com/spine/2021/osteoporotic-vertebral-compression-fracture
1 Users
0 Comments
65 Highlights
0 Notes
Tags
Top Highlights
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
Glasp is a social web highlighter that people can highlight and organize quotes and thoughts from the web, and access other like-minded people’s learning.