Vertebral compression fractures: a review of current management and multimodal therapy

作者：Matthew J. McGirt, Wong · 发表于：Journal of Multidisciplinary Healthcare · 年份：2013 · DOI：10.2147/jmdh.s31659 · 被引用次数：176 · 研究领域：Spinal Fractures and Fixation Techniques、Spine and Intervertebral Disc Pathology、Pelvic and Acetabular Injuries

Vertebral compression fractures are a prevalent disease affecting osteoporotic patients. When symptomatic, they cause significant pain and loss of function and have a high public health impact. In this paper we outline the diagnosis and management of these patients, with evidence-based review of treatment outcomes for the various therapeutic options. Diagnosis involves a clinical history focusing on the nature of the patient's pain as well as various imaging studies. Management is multimodal in nature and starts with conservative therapy consisting of analgesic medication, medication for osteoporosis, physical therapy, and bracing. Patients who are refractory to conservative management may be candidates for vertebral augmentation through either vertebroplasty or kyphoplasty.