Treatment FAQ

what is the most recent treatment for compression fractures

by Cara Johnson Published 2 years ago Updated 2 years ago
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"Spinal fusion is often the last resort," Wetzel tells WebMD. "If the bone is more than 50% compressed in height, if patients are in a great deal of pain, and if they have had complications from another spinal surgery, we suggest spinal fusion surgery."Nov 21, 2021

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  • Osteoporosis, a weakening of the bones that can occur in postmenopausal women and older men
  • Injuries
  • Tumors

How do I choose the best compression fracture treatment?

In fact, spinal compression fractures are the most common type of osteoporotic fractures. Forty percent of all women will have at least one by the time they are 80 years old. These vertebral fractures can permanently alter the shape and strength of the spine. The fractures usually heal on their own and the pain goes away.

Will my compression fracture heal on its own?

Most people can get by without it. Compression fractures usually heal on their own in about 3 months. While that happens, your doctor may suggest you try some things at home that can make you feel better, such as pain medicines, rest, physical therapy, or a back brace.

Do compression fractures heal on their own?

Treatment options

  • Compression fracture. Two procedures are usually done if surgery is needed to repair a compressed vertebra. ...
  • Burst fracture. For a burst fracture, treatment options include operating from the front of the body to perform a corpectomy.
  • Chance fracture. ...
  • Fracture-dislocation. ...

What is the recovery time for a compression fracture?

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What is the best treatment for a compression fracture?

Treatment of compression fractures may include medicine, rest, a back brace, or physical therapy. Sometimes, surgery is needed. The risk of new fractures can be reduced by doing regular weight-bearing exercises that increase strength, and balance exercises that reduce the risk for falls.

Can an old compression fracture be fixed?

If you are experiencing pain stemming from your middle or lower spine, then you may have a vertebral compression fracture. Fortunately, compression fractures can be corrected using advanced procedures and treatment methods performed by qualified interventional radiologists.

How long does it usually take for a compression fracture to heal?

Most compression fractures due to injury heal in 8 to 10 weeks with rest, wearing of a brace, and pain medicines. However, recovery can take much longer if surgery was done.

Do compression fractures get worse over time?

The main symptom you'll notice with a spinal compression fracture is back pain. It may start gradually and get worse over time or come on suddenly and sharply.

What happens if a compression fracture goes untreated?

If left untreated, spinal fractures can lead to permanent spinal cord injury, nerve damage and paralysis. Types of spinal fractures are: Compression fracture: A compression fracture is usually caused by osteoporosis, a tumor or other abnormalities in the spine.

What happens when kyphoplasty doesn't work?

Although the complication rate for Kyphon Balloon Kyphoplasty is low, as with most surgical procedures serious adverse events, some of which can be fatal, can occur, including heart attack, cardiac arrest (heart stops beating), stroke, and embolism (blood, fat or cement that migrates to the lungs or heart).

How do I strengthen my back after a compression fracture?

0:395:45Exercises for back pain after spinal fractures - YouTubeYouTubeStart of suggested clipEnd of suggested clipWhat I'm going to ask you to do is to bring your arms outward squeezing your shoulder bladesMoreWhat I'm going to ask you to do is to bring your arms outward squeezing your shoulder blades together at the back to do this exercise.

How serious is a compression fracture?

Spine compression fractures are serious, and they can cause painful or debilitating symptoms that interfere with your quality of life. Fortunately, treatment can help repair the damage and relieve symptoms.

Is bed rest good for compression fracture?

In conclusion, the short term bed rest period is recommended in compression fracture patients to reduce the treatment period and inconvenience of the patients.

How long can you live with a compression fracture?

The survival rates following a fracture diagnosis, as estimated with the Kaplan-Meier method, were 53.9%, 30.9%, and 10.5% at three, five, and seven years, respectively, which were consistently and significantly lower than the rates for the controls.

Is a compression fracture considered a broken back?

A compression fracture occurs when the front of a vertebra breaks and loses a little of its height, but the back of that vertebra remains intact. Symptoms include pain in the back and sometimes in the arms or legs.

How do you sleep with a compression fracture?

Sleep on your back with a pillow under your knees. This will decrease pressure on your back. You may also sleep on your side with 1 or both of your knees bent and a pillow between them. It may also be helpful to sleep on your stomach with a pillow under you at waist level.

What is the treatment for a vertebral fracture?

Fracture treatment. Treatment for the vertebral fracture will typically include non-surgical care, such as rest, pain medication, use of heat or ice for local pain, and slow return to mobility. Surgery may also be advisable.

What is the treatment for a spinal fracture caused by osteoporosis?

Treatment of a spinal fracture caused by osteoporosis is usually two-pronged, including both treatment of the fracture, and treatment of the underlying osteoporosis that led to the fracture. Vertebral Augmentation for Compression Fractures.

What is the procedure for a spinal fracture?

Vertebroplasty After a Painful Spine Fracture. Kyphoplasty: Similar to vertebroplasty, kyphoplasty is a minimally invasive procedure designed to reduce or stop the pain caused by a spinal fracture, to stabilize the bone, and to restore some or all of the lost vertebral body height due to the compression fracture.

What type of surgery is used to heal a fractured vertebra?

The two most common types of surgery for this type of fracture are vertebroplasty and kyphoplasty. Both types of surgery can help the fracture heal. Vertebroplasty: This minimally invasive treatment is designed to help reduce or eliminate pain caused by a fractured vertebra and stabilize the bone.

How to prevent future fractures?

Helping prevent future fractures by treating the osteoporosis. After sustaining one vertebral fracture, the patient is at risk for more fractures, so treatment of the patient’s underlying osteoporosis is an important part of the treatment plan.

What is the best treatment for osteoporosis?

Osteoporosis treatment will typically include one or a combination of the following: calcium supplements, increased vitamin D, weight-bearing exercises, and hormone replacement therapy for women. See Osteoporosis Treatment and Management.

What does a compression fracture mean?

Spinal compression fractures can signal the end of pain-free mobility for those who experience them. Often due to loss of bone density (osteoporosis) and strength, a compression fracture occurs when weakened vertebra in your spine begin to break or splinter with normal activity, such as walking.

Can a fracture cause a spinal cord to collapse?

However, even mild fractures can cause the affected vertebrae to lose height and collapse into surrounding spinal structures. Bone may press on the spinal cord and nerves, often causing severe pain and limiting the flow of oxygenated and nutrient-rich blood to the spine.

Can a compression fracture cause numbness?

If the fracture occurs suddenly, you may also feel abrupt, severe, and disabling back pain. Compression fractures can also cause numbness and tingling in the legs, muscle weakness, difficulty walking, and problems controlling your bowels or bladder due to nerve damage.

Is kyphoplasty safe?

Developed in the late 1980s and improved on since then with advanced technology and technique, kyphoplasty utilizes quick-setting, bone-friendly cement to support and strengthen the damaged vertebrae. It’s an effective and safe treatment that has restored mobility and provided drug-free pain relief for many people with compression fractures.

What Are Compression Fractures?

The spine consists of 24 bony vertebrae connected by ligaments and tendons to each other and other parts of the body. Those bones protect the spinal cord.

Symptoms

Acute back pain is the first sign of most vertebral fractures. However, chronic and severe back pain may also result. In addition, pain when moving side to side is common.

How Serious are Vertebral Compression Fractures?

Most compression fractures are not that serious. Many of those fractures are never even diagnosed because the fracture is so slight. These facts don’t mean spinal compression fractures are trivial at all. Apart from the chronic pain, the damage only gets worse over time.

What are the Treatment Options?

A spinal compression fracture can be treated in several ways, including with surgery. The non-surgical options include:

Comprehensive Spine Care in Westminster and West Ridge, CO

We have experience in the diagnosis and treatment of many spine problems, including fractures. So whatever happened to your spine, our doctors can evaluate the problem and prescribe the right course of treatment.

What is the procedure for spinal compression fracture?

Vertebroplasty and Kyphoplasty. These procedures for spinal compression fractures involve small, minimally invasive incisions, so they require very little healing time. They also use acrylic bone cement that hardens quickly, stabilizing the spinal bone fragments and therefore stabilizing the spine immediately.

How long does a spinal compression fracture last?

Nonsurgical Treatment for Spinal Compression Fractures. Pain from a spinal compression fracture allowed to heal naturally can last as long as three months. But the pain usually improves significantly in a matter of days or weeks. Pain management may include analgesic pain medicines, bed rest, back bracing, and physical activity.

How to fix a fractured vertebrae?

Vertebroplasty. This procedure is effective for relieving pain from spinal compression fractures and helping to stabilize the fracture. During this procedure: 1 A needle is inserted into the damaged vertebrae. 2 X-rays help ensure that it's done with accuracy. 3 The doctor injects a bone cement mixture into the fractured vertebrae. 4 The cement mixture hardens in about 10 minutes. 5 The patient typically goes home the same day or after a one-night hospital stay.

How long does it take for a kyphoplasty to harden?

The cement mixture hardens in about 10 minutes. The patient typically goes home the same day or after a one-night hospital stay. Kyphoplasty: This procedure helps correct the bone deformity and relieves the pain associated with spinal compression fractures. During the procedure:

What are the drawbacks of spinal fusion surgery?

There are drawbacks to spinal fusion surgery. It eliminates the natural movement of the two vertebrae, which limits the person's movement. Also , it puts more stress on vertebrae next to the fusion - increasing the chance of fracture in those vertebrae.

What is the best treatment for osteoporosis?

Osteoporosis treatment. Bone-strengthening drugs such as bisphosphonates (such as Actonel, Boniva, and Fosamax) help stabilize or restore bone loss. This is a critical part of treatment to help prevent further compression fractures. Surgical Treatment for Spinal Compression Fractures. When chronic pain from a spinal compression fracture persists ...

How long does it take for a patient to recover from a spinal surgery?

Activity level is gradually increased. Depending on the patient's age and health status, getting back to normal functioning can happen within two months or up to six months later.

What is the best treatment for spinal compression fracture?

The two most successful surgical treatment types for spinal compression fractures are: Kyphoplasty: Patients undergoing this minimally invasive surgery will have a thin tube called a catheter inserted in the back into the damaged vertebrae by their orthopedic surgeon.

What is spinal compression fracture?

A common injury among older adults is called a spinal compression fracture, which occurs when one or more of the spinal bones, called vertebrae, collapse. These fractures can happen to anyone, but are more common among older women with osteoporosis. In fact, the American Association of Neurological Surgeons estimates that spinal compression fractures affect as many as 1 in every 4 postmenopausal women with osteoporosis in the U.S. and as many as 40% of women age 80 and older. Unfortunately, those who have had one osteoporotic spinal compression fracture have a fivefold risk of having another, making it very important to reduce the likelihood of falls.

How to heal a spinal fracture?

Many who suffer a spinal compression fracture heal with nonsurgical treatments. Your orthopedic/spine specialist may recommend physical therapy, a well-fitted back brace, pain medication, bone density stabilizing medication, and activity modifications. Your doctor will also help advise how to prevent future falls if it was a fall ...

How long does it take for a vertebrae to harden?

Bone cement mixture is injected into the fractured vertebrae, which hardens in about 10 minutes. Vertebroplasty is effective at relieving pain and stabilizing spinal compression fractures.

Overview

Compression fractures are small breaks or cracks in the vertebrae (the bones that make up your spinal column). The breaks happen in the vertebral body, which is the thick, rounded part on the front of each vertebra. Fractures in the bone cause the spine to weaken and collapse. Over time, these fractures affect posture.

Symptoms and Causes

Compression fracture symptoms range from mild to severe. Some people may not have symptoms. Their provider may discover the fracture when they do an X-ray for another condition. But many people are unable to stand or walk without pain. Symptoms of a fractured spine include:

Diagnosis and Tests

To diagnose a compression fracture, your provider will examine you and ask about your symptoms. During the exam, your provider:

Management and Treatment

Compression fracture treatment focuses on relieving pain, stabilizing the bones in the spine and preventing another fracture. Depending on the severity of the fracture and your overall health, treatment may include:

Prevention

You may not always be able to prevent compression fractures. To reduce your risk of a compression fracture from osteoporosis, you should:

Living With

If you have sudden back pain that doesn’t get better after a day or two, see your provider. It’s important to get an evaluation for back pain so your provider can determine the cause and plan treatment. Call your provider right away if you’re over 65 or you have osteoporosis or a history of cancer.

What Is A Vertebral Compression Fracture?

While many bone fractures are caused by more significant force, if your bones are weak and brittle from osteoporosis, everyday activities and movements can lead to a VCF. This may include something as simple as:

Am I At Risk For A VCF?

Approximately 25% of all postmenopausal women and 80% of women over the age of 80 will have at least one VCF. This is because bones begin to weaken as natural estrogen levels decline. Your individual risk increases if you have osteoporosis or any health condition that can weaken your bones.

What Are The Symptoms Of A VCF?

Symptoms can be mild to severe include any of the following, but sometimes there are no symptoms:

How Is A Vertebral Compression Fracture Diagnosed?

A VCF cannot be diagnosed without some type of imaging. While X-rays show spinal alignment and disc degeneration, your physician may request a CAT scan, MRI, or bone densitometry test.

What Are The Top Treatments For Vertebral Compression Fractures?

If rapidly diagnosed, the majority of VCFs will heal naturally over the next 3 months. While full recovery will take a few months, your pain can be alleviated within the first few days or weeks. To allow your body to heal naturally, treatment will likely include:

What Is A Vertebroplasty?

Vertebroplasty is an outpatient surgery that involves injecting cement into the vertebra to eliminate bone-on-bone contact. If your physician determines that vertebroplasty is right for you, the surgery is short and has a fast recovery time.

What Is A Kyphoplasty?

Kyphoplasty is also an outpatient surgery with a fast recovery time. The procedure involves inflating a miniature balloon in-between the fractured vertebrae, then filling it in with a cement-like material.

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