![]() ![]() Balloon kyphoplasty usually involves staying in hospital overnight and the procedure has some low surgical complications, which will be discussed with you before proceeding with surgery. This is then filled with cement and the balloon is removed. ![]() This involves a small incision being made over the affected bone, and a small balloon being inserted into the bone which is slowly inflated to restore some of the normal bone height. The most common type of surgery for vertebral compression fracture is a procedure known as balloon kyphoplasty. Patients typically see a very significant improvement in pain in the first few weeks after surgery. If surgical treatment is required, the risks and benefits will be discussed with you, along with details of what the procedure involves. The majority of patients who do not require surgery see an improvement in pain over the first few months following a fracture. ![]() If your fracture can be treated with medication and physiotherapy this will be organised. We provide rapid access to appropriate imaging and diagnostic tests, as well as surgery and therapies. The clinic is made up of a multidisciplinary team incorporating the expertise of orthopaedic, neurosurgical, osteoporosis and rehabilitation specialists. 26 Nonsteroidal anti-inflammatory drugs have been shown to significantly increase gastrointestinal bleeding in the elderly and must be used with caution.Our vertebral compression fracture clinic at St Mary’s Hospital provides early diagnosis and onward management for patients with a suspected spinal fracture. 25 Muscle relaxants, external back-braces, and physical therapy modalities also may help. Calcitonin-salmon (Miacalcin) nasal spray can be used for treatment of pain. If bowel sounds and flatus are not present, the patient may require evaluation and treatment for ileus. Oral or parenteral analgesics may be administered for pain control, with careful observation of bowel motility. Prolonged inactivity should be avoided, especially in elderly patients. Patients are treated with a short period (no more than a few days) of bedrest. Traditional treatment is nonoperative and conservative. Fortunately, compression fractures are normally stable secondary to their impacted nature. A stable fracture will not be displaced by physiologic forces or movement. The physician must first determine if the fracture is stable or unstable. Family physicians can help patients prevent compression fractures by diagnosing and treating predisposing factors, identifying high-risk patients, and educating patients and the public about measures to prevent falls. Interventional procedures such as vertebroplasty can be considered in those patients who do not respond to initial treatment. Traditional conservative treatment includes bed rest, pain control, and physical therapy. While the diagnosis can be suspected from history and physical examination, plain roentgenography, as well as occasional computed tomography or magnetic resonance imaging, are often helpful in accurate diagnosis and prognosis. More severe fractures can cause significant pain, leading to inability to perform activities of daily living, and life-threatening decline in the elderly patient who already has decreased reserves. ![]() Vertebral compression fractures usually are caused by osteoporosis, and range from mild to severe. Compression fracture of the vertebral body is common, especially in older adults. ![]()
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