Abstract
ConceptVertebral fractures are a common cause of acute spinal pain in patients with osteoporosis and have a significant impact on their quality of life and survival. DiagnosisThe diagnosis is usually reached with simple conventional spine radiology. AetiologyThe aetiology of vertebral fractures should be assessed, distinguishing the osteoporotic fractures from those of other causes (trauma, tumours, Paget's disease, angiomas and osteomalacia). Osteoporotic fractures can be either primary or secondary (hyperthyroidism, hyperparathyroidism, hypercortisolism, hypogonadism, vitamin D deficiency, drugs, etc.). The risk factors for osteoporosis and fractures should also be assessed. TreatmentThe treatment should initially be directed towards controlling the pain. It is important to treat the aetiology of the fracture and, in case of osteoporosis, establish a treatment to prevent new fractures using active drugs adjusting to the patient's risk profile. The need for braces to reduce pain and facilitate early mobilisation should be considered. Vertebroplasty/kyphoplasty can be an option for patients with uncontrollable pain, poor consolidation and fracture instability.
Published Version
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