Vertebral Body Compression Fractures (Acute and Chronic)
Suggested Pre-Referral Evaluation and Management Guidelines
Osteoporosis is a debilitating metabolic bone disease that may lead to decreased skeletal function and vulnerability to fractures of the vertebral bodies.
Prevention and conservative treatment are key. These treatment modalities range from Calcium/ Vitamin D, Bisphosphonates, Calcitonin, HRT, Exercise.
History as to the events that lead to their current pain such as a fall, minor trauma.
Patients usually demonstrate pain and tenderness to percussed region on the vertebrae.
Sometimes these lesions may be chronic with lingering axial pain (ie. Nonradiating)
Suggested Additional Test/Management Prior to Specialty Visit
Imaging Studies MRI (gold standard), CT, plan Radiographs, bone scan
Early referral to the U of M Back & Pain Center for consideration of Percutaneous Kyphoplasty to reestablish vertebral body height or in the case of chronic fractures with axial (ie. Nonradiating) pain the consideration of water cooled ablation of nerves responsible in the transmission of this spine pain.