Tips

How do you diagnose a spinal compression fracture?

How do you diagnose a spinal compression fracture?

If a vertebral compression fracture is suspected, the doctor will test for tenderness and sensitivity near specific vertebrae along the spine. Based on the patient’s history and physical exam, if a vertebral fracture is suspected, an x-ray will be ordered to confirm the diagnosis.

How to diagnose acute vertebral compression fracture?

Patients with an acute VCF may report abrupt onset of back pain with position changes, coughing, sneezing, or lifting. Physical examination findings are often normal, but can demonstrate kyphosis and midline spine tenderness. More than two-thirds of patients are asymptomatic and diagnosed incidentally on plain radiography.

How tall do you have to be to have compression fracture?

Radiographically, a decrease in vertebral height of 20 percent or more, or a decrease of at least 4 mm compared with baseline height is considered positive for compression fracture. 10

When do vertebral compression fractures occur in children?

Vertebral compression fractures occur in children in the setting of accidental or non-accidental trauma, or osteoporosis which can be primary or secondary. Secondary osteoporosis is seen with chronic disease and/or glucocorticoid use [2–7].

How to treat vertebral compression fractures ( VCFs )?

Medications for Acute Treatment of Vertebral Compression Fractures. Physical Therapy and Exercise. Physical therapy is likely to be useful in patients with VCFs and osteoporosis. 12,14,29 Home exercise programs have a more limited evidence base, with some small trials demonstrating pain reduction, improved balance, and quality of life.

When does a vertebral compression fracture occur?

Vertebral compression fractures (VCFs) occur when the bony block or vertebral body in the spine collapses, which can lead to severe pain, deformity and loss of height. These fractures more commonly occur in the thoracic spine (the middle portion of the spine), especially in the lower part.

How to diagnose compression fractures in the elderly?

The bone marrow signal on MRI can help identify an acute fracture and distinguish ages of compression fractures. 23 Follow-up films or further evaluation with CT or MRI is indicated for patients with continued pain despite conservative therapy or when symptoms are progressive.

How often do children have cervical spine fractures?

Cervical Spine Injuries •Rare- < 1% of children’s fractures •Neurologic Injury – “rare” to 44% Mortality in ≤ 9yrs • Age ≤ 7 yrs – Majority upper cervical, esp. craniocervical junction – Larger Head:Torso ratio • Age > 7 yrs – Lower cervical injuries predominate Jones. Pediatric cervical spine trauma. J Am Acad Orthop Surg. 2011;19:600

What is the survival rate after a compression fracture?

Survival rates following the diagnosis of vertebral compression fracture at three, five, and seven years were 53.9%, 30.9%, and 10.5%, respectively. The corresponding survival rates were much higher for the controls (78.2%, 64.5%, and 52.5%).