Compression fracture

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Compression fracture
Classification and external resources
L4 compressionFracture2008.jpg
Compression fracture of the fourth lumbar vertebra post falling from a height.
ICD-9733.13 (pathological), 805-806 (traumatic)
 
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Compression fracture
Classification and external resources
L4 compressionFracture2008.jpg
Compression fracture of the fourth lumbar vertebra post falling from a height.
ICD-9733.13 (pathological), 805-806 (traumatic)
X-ray of the lumbar spine with a compression fracture of the third lumbar vertebra.

A compression fracture is a collapse of a vertebra. It may be due to trauma or due to a weakening of the vertebra (compare with burst fracture). This weakening is seen in patients with osteoporosis or osteogenesis imperfecta, lytic lesions from metastatic or primary tumors,[1] or infection.[2] In healthy patients it is most often seen in individuals suffering extreme vertical shocks, such as ejecting from an ejection seat. Seen in lateral views in plain x-ray films, compression fractures of the spine characteristically appear as wedge deformities, with greater loss of height anteriorly than posteriorly and intact pedicles in the anteroposterior view.[3]

Treatment[edit]

Conservative treatment[edit]

Surgical[edit]

Additional images[edit]

References[edit]

  1. ^ Weber, Kristy (February 28, 2006). "Rounds 2: Treatment of Metastatic Bone Disease". John Hopkins Arthritis Center. 
  2. ^ "Bone Infections". MedlinePlus. September 7, 2011. 
  3. ^ Brant, William E.; Helms, Clyde A. (2007). "Benign Compression Fracture". Fundamentals of Diagnostic Radiology (3rd ed.). Philadelphia: Lippincott Williams & Wilkins. p. 302. ISBN 978-0-7817-6135-2. 
  4. ^ "Jewett vs. TLSO Replies". OANDP-L on oandp.com. 2010-09-27. Retrieved 2012-09-02. 
  5. ^ "Calcitonin for osteoporotic fractures". Retrieved 2012-09-03. 
  6. ^ Knopp, Jennifer A.; Diner, Barry M.; Blitz, Maurice; Lyritis, George P.; Rowe, Brian H. (2004). "Calcitonin for treating acute pain of osteoporotic vertebral compression fractures: A systematic review of randomized, controlled trials". Osteoporosis International 16 (10): 1281–90. doi:10.1007/s00198-004-1798-8. PMID 15614441. 
  7. ^ a b Taylor, Rod S.; Taylor, Rebecca J.; Fritzell, Peter (2006). "Balloon Kyphoplasty and Vertebroplasty for Vertebral Compression Fractures". Spine 31 (23): 2747–55. doi:10.1097/01.brs.0000244639.71656.7d. PMID 17077747. 
  8. ^ Taylor, Rod S.; Fritzell, Peter; Taylor, Rebecca J. (2007). "Balloon kyphoplasty in the management of vertebral compression fractures: An updated systematic review and meta-analysis". European Spine Journal 16 (8): 1085–100. doi:10.1007/s00586-007-0308-z. PMC 2200787. PMID 17277923. 
  9. ^ Kallmes, David F.; Comstock, Bryan A.; Heagerty, Patrick J.; Turner, Judith A.; Wilson, David J.; Diamond, Terry H.; Edwards, Richard; Gray, Leigh A. et al. (2009). "A Randomized Trial of Vertebroplasty for Osteoporotic spinal Fractures". New England Journal of Medicine 361 (6): 569–79. doi:10.1056/NEJMoa0900563. PMC 2930487. PMID 19657122. 
  10. ^ Buchbinder, Rachelle; Osborne, Richard H.; Ebeling, Peter R.; Wark, John D.; Mitchell, Peter; Wriedt, Chris; Graves, Stephen; Staples, Margaret P. et al. (2009). "A Randomized Trial of Vertebroplasty for Painful Osteoporotic Vertebral Fractures". New England Journal of Medicine 361 (6): 557–68. doi:10.1056/NEJMoa0900429. PMID 19657121. 
  11. ^ Boonen, S.; Wahl, D. A.; Nauroy, L.; Brandi, M. L.; Bouxsein, M. L.; Goldhahn, J.; Lewiecki, E. M.; Lyritis, G. P. et al. (2011). "Balloon kyphoplasty and vertebroplasty in the management of vertebral compression fractures". Osteoporosis International 22 (12): 2915–34. doi:10.1007/s00198-011-1639-5. PMID 21789685. 
  12. ^ Han, Shiliang; Wan, Shuanglin; Ning, Lei; Tong, Yongjun; Zhang, Jianfeng; Fan, Shunwu (2011). "Percutaneous vertebroplasty versus balloon kyphoplasty for treatment of osteoporotic vertebral compression fracture: A meta-analysis of randomised and non-randomised controlled trials". International Orthopaedics 35 (9): 1349–58. doi:10.1007/s00264-011-1283-x. PMC 3167445. PMID 21637959. 
  13. ^ Farrokhi, Majid Reza; Alibai, Ehsanali; Maghami, Zohre (2011). "Randomized controlled trial of percutaneous vertebroplasty versus optimal medical management for the relief of pain and disability in acute osteoporotic vertebral compression fractures". Journal of Neurosurgery: Spine 14 (5): 561–9. doi:10.3171/2010.12.SPINE10286. PMID 21375382. 

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