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Review
. 2017 Apr-Jun;8(2):131-138.
doi: 10.1016/j.jcot.2017.02.001. Epub 2017 Feb 7.

Non-surgical management of acute osteoporotic vertebral compression fracture: A review

Bhavuk Garg  1 , Vivek Dixit  1 , Sahil Batra  1 , Rajesh Malhotra  1 , Alok Sharan  2
Affiliations
Review

Non-surgical management of acute osteoporotic vertebral compression fracture: A review

Bhavuk Garg et al. J Clin Orthop Trauma. 2017 Apr-Jun.

Abstract

Osteoporosis is a major public health problem. Last decade has seen rise in osteoporotic vertebral fractures. Pragmatic management of osteoporotic VCF is challenging to the surgeons. In clinical settings, the situation becomes more complex when it comes to managing painful osteoporotic vertebral compression fractures (VCFs) due to various co-morbid factors that may limit aggressive interventions. Patients with Osteoporotic vertebral fractures are often characterized by general/relative immobility and physical frailty. Osteoporotic VCF not only affects the quality of life (e.g. pain) but also decreases the lifespan of the individual. The present review critically evaluates the currently prevailing non-surgical management modalities (conservative) offered in acute symptomatic osteoporotic VCFs that occur either within (0-5 days) of any incident event or present with the onset of symptoms such as pain.

Keywords: Fracture; Osteoporosis; Surgical; Vertebral.

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Figures

Fig. 1
Fig. 1
a- Collapse Osteoporotic Vertebral fracture. b- Demonstrating instability in Flexion-Extension view.
Fig. 2
Fig. 2
Showing Psuedoarthosis in D12 vertebral body.
Fig. 3
Fig. 3
WHO FRAX assessment tool.
Fig. 4
Fig. 4
Classification of Vertebral Fracture in Elderly.
Fig. 5
Fig. 5
Most commonly used braces.
Fig. 6
Fig. 6
Flow chart of Management of Acute osteoporotic vertebral compression Fracture.
See this image and copyright information in PMC

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