Vertebral Compression Fractures: Evaluation and Management
| Autor: | Sreekumar Madassery |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Vertebral compression fracture Osteoporosis Magnetic resonance imaging Interventional radiology 030204 cardiovascular system & hematology Compression (physics) medicine.disease 030218 nuclear medicine & medical imaging Surgery Review article 03 medical and health sciences 0302 clinical medicine Refractory medicine Back pain Radiology Nuclear Medicine and imaging medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Semin Intervent Radiol |
| ISSN: | 1098-8963 0739-9529 |
| Popis: | Painful vertebral body compression fractures are prevalent in elderly patients. Two-thirds of patients will have spontaneous resolution of pain in 4 to 6 weeks and initial management is nonoperative with pain management and bracing. A focused history and exam can identify patients likely to benefit from vertebral body augmentation (e.g., vertebroplasty or kyphoplasty). Patients with persistent back pain and bone marrow edema on magnetic resonance imaging may benefit from injection of cement into the fractured vertebral body with either vertebroplasty or kyphoplasty. Patients most likely to benefit are those with severe pain refractory to nonoperative management who are offered intervention within 3 weeks. The procedure is usually performed as an outpatient with rare complications. Most patients report immediate, durable pain relief. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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