Risk of mortality following clinical fractures. Bethesda, MD: National Institutes of Health 2000 17:1-36.Ģ Cauley JA, Thompson DE, Ensrud KC, Scott JC, Black D. Osteoporosis prevention, diagnosis, and therapy. Treatment options for vertebral compression fractures include vertebroplasty and kyphoplasty.ġ National Institute of Health. Most vertebral fractures will heal after weeks of rest, over-the-counter pain medication, and a gradual increase in activity. It is vital that progress be made in the timely diagnosis and treatment of this condition. Recent data shows that a single vertebral fracture increases the risk of further vertebral fractures and that each subsequent fracture can lead to increased morbidity and mortality. Increased mortality is one of many consequences of osteoporotic vertebral fractures however, unlike hip fractures, only one-third of vertebral fractures receive clinical attention. A similar procedure is referred to as a kyphoplasty if a small balloon is used to restore the height of the compressed vertebra prior to injection of the bone. Focusing on the worst outcome of osteoporosis - death - the Fracture Intervention Trial, which followed more than 6,000 relatively healthy older women over approximately four years showed that both hip and clinical vertebral fractures were associated with significant increases in mortality. Vertebral compression fractures can have devastating long-term effects in terms of diminished quality of life, decreased independence, and increased morbidity and mortality. Fractures, can result in pain and disability. It is estimated that 1 in 3 women and 1 in 8 men over the age of 50 has osteoporosis - worldwide. This condition can be caused by a diet lacking in calcium, excessive alcohol consumption, menopause, chronic steroid therapy, smoking, or as a normal consequence of aging. Vertebral fractures are usually caused by osteoporosis. These fractures happen most commonly in the thoracic spine (the middle portion of the spine), and lumbar spine (the lower part). Our non-surgical approaches include: Taking pain medications. In this paper we outline the diagnosis and management of these patients, with evidence-based review of treatment outcomes for the various. Treatment for a compression fracture depends on the nature of the break and the likely cause. When symptomatic, they cause significant pain and loss of function and have a high public health impact. When the vertebral body collapses, it is called a vertebral compression fracture (VCF). Vertebral compression fractures are a prevalent disease affecting osteoporotic patients. A vertebra can break just like any other bone in the body. The spine is made up of strong bones called vertebrae. alone, osteoporosis causes 250,000 hip fractures, 250,000 wrist fractures and 700,000 - 750,000 vertebral fractures per year. Objective: Acutely painful osteoporotic vertebral compression fractures are associated with hospitalization and mortality in older adults. Osteoporosis can occur at any age and in both males and females. It is now recognized that both bone density and bone quality (architecture, turnover, damage and mineralization) are important determinants of bone strength. Osteoporosis is a systemic skeletal disease characterized by compromised bone strength, which predisposes the affected bone to fracture.
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