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Review
. 2014 Jun;8(3):382-90.
doi: 10.4184/asj.2014.8.3.382. Epub 2014 Jun 9.

Prevention and treatment of multiple osteoporotic compression fracture

Ye-Soo Park  1 , Hee-Soo Kim  1
Affiliations
Review

Prevention and treatment of multiple osteoporotic compression fracture

Ye-Soo Park et al. Asian Spine J. 2014 Jun.

Abstract

Korea's demographic profile is undergoing tremendous change as the country rapidly ages at one of the fastest rates in the world. Indeed, the country is expected to become an "aged society" in 2018 when the proportion of elderly is estimated to reach 14.3% of the total population. With the notable increase in the number of elderly individuals, the incidence of osteoporotic fractures will also likely increase. Osteoporosis is a systemic musculoskeletal disease that is characterized by the decreased bone quantity and the abnormalities of the microstructures. There are both conservative and surgical treatment modalities for the fracture: conservative treatments include pharmacological treatments and orthosis; surgical treatments include vertebroplasty, kyphoplasty, and reconstructive surgery. Clinicians should consider the severity of osteoporosis, the concurrent osteoporotic fracture, the age and sex of the patient, and the underlying diseases in making a patient-tailored prescription.

Keywords: Conservative treatment; Kyphoplasty; Osteoporotic compression fracture; Reconstructive surgical procedures; Vertebroplasty.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
(A, B) A 74-year-old female's simple radiograph and magnetic resonance imaging (MRI) demonstrating acute osteoporotic compression fracture in T12, multiple old compression fractures, and resultant kyphosis. (C, D) Simple lateral X-ray and MRI at 3 months after of parathyroid hormone injection show the consolidation of the fracture site.
Fig. 2
Fig. 2
(A, B) A 72-year-old female's simple lateral X-ray and magnetic resonance imaging showing multiple acute compression fracture. (C) Simple lateral radiograph at 6 months after vertebroplasty of multiple level.
Fig. 3
Fig. 3
(A, B) A 74-year-old female's simple X-ray and magnetic resonance imaging demonstrating acute osteoporotic compression fracture in L1 and resultant kyphosis. (C) Follow-up simple lateral X-ray at 6 month after the instrumentation.
See this image and copyright information in PMC

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