Spinal Trauma
A 72-year-old woman presents with acute mid-back pain after bending to pick up groceries. She has a history of osteoporosis on bisphosphonates. Examination reveals tenderness at T12 with no neurological deficit. X-ray shows 35% anterior height loss at T12 with intact posterior wall. MRI confirms an acute T12 compression fracture with bone marrow edema, no posterior element involvement, and no canal compromise. Regarding management of this osteoporotic compression fracture:
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This is an osteoporotic vertebral compression fracture (OVCF) representing the most common type of o...
The TLICS (Thoracolumbar Injury Classification and Severity Score) can guide management: morphology ...
All compression fractures require surgical fixation; osteoporotic fractures heal faster than traumat...
Initial conservative management includes analgesics, early mobilization as tolerated, spinal bracing...
Vertebral augmentation (vertebroplasty or kyphoplasty) may be considered if pain persists despite 4-...
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