Vertebral fractures: clinical importance and management.
Am J Med. 2015 Oct 30;
Authors: Kendler DL, Bauer DC, Davison KS, Dian L, Hanley DA, Harris ST, McClung MR, Miller PD, Schousboe JT, Yuen CK, Lewiecki EM
Abstract
Vertebral fractures are common and can result in acute and chronic pain, decreases in quality of life and diminished lifespan. The identification of vertebral fractures is important as they are robust predictors of future fractures. The majority of vertebral fractures do not come to clinical attention. Numerous modalities exist for visualizing suspected vertebral fracture. While differing definitions of vertebral fracture may present challenges in comparing data between different investigations, at least one in five men and women over 50 years of age have one or more vertebral fractures. There is clinical guidance to target spine imaging to individuals with a high probability of vertebral fracture. Radiology reports of vertebral fracture need to clearly state that the patient has a "fracture" with further pertinent details such as the number, recency and severity of vertebral fracture, each of which is associated with risk of future fractures. Patients with vertebral fracture should be considered for anti-fracture therapy. Physical and pharmacological modalities of pain control and exercises or physiotherapy to maintain spinal movement and strength are important components in the care of vertebral fracture patients.
PMID: 26524708 [PubMed - as supplied by publisher]