Vertebral Compression Fracture Management

Overview

Vertebral Compression Fracture (VCF) Management focuses on treating fractures of the spinal vertebrae, most commonly caused by osteoporosis, trauma, or cancer-related bone weakness. These fractures can lead to severe back pain, reduced mobility, height loss, and spinal deformity (kyphosis).

Early diagnosis and appropriate management prevent long-term complications and improve quality of life.

What Is a Vertebral Compression Fracture?

A vertebral compression fracture occurs when a spinal bone collapses or cracks due to weakened bone structure.

Common causes include:

• Osteoporosis (most common)

• Fall or minor trauma in elderly

• Road traffic accidents

• Tumor-related bone weakness

• Long-term steroid use

Symptoms may include:

• Sudden severe back pain

• Pain worsening on standing or walking

• Height loss

• Forward bending posture

• Limited mobility

Treatment Options

1️⃣ Conservative Management

• Pain medications

• Back brace

• Activity modification

• Osteoporosis treatment

Suitable for stable fractures.

2️⃣ Vertebroplasty

Minimally invasive injection of bone cement into the fractured vertebra to stabilize it.

3️⃣ Kyphoplasty

Balloon-assisted technique to restore vertebral height before cement injection.

4️⃣ Surgical Stabilization

For unstable fractures or neurological compromise.

When Is Intervention Required?

• Persistent severe pain

• Fracture causing deformity

• Progressive collapse

• Nerve compression

• Failure of conservative treatment

Timely treatment prevents chronic pain and spinal deformity.

Benefits of Advanced VCF Management

✅ Immediate pain relief (vertebroplasty/kyphoplasty)
✅ Improved mobility
✅ Stabilizes spine
✅ Prevents further collapse
✅ Corrects deformity
✅ Short hospital stay

Recovery & Rehabilitation

• Early mobilization

• Osteoporosis management

• Physiotherapy for posture and strength

• Regular bone health monitoring

Managing underlying osteoporosis is critical to prevent future fractures.