Lumbar Compression Fracture Questions & Answers

Updated: Oct 12, 2018
  • Author: Andrew L Sherman, MD, MS; Chief Editor: Stephen Kishner, MD, MHA  more...
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Questions & Answers

Overview

What is a lumbar compression fracture?

How are lumbar compression fractures diagnosed?

What is the indication for a vertebral biopsy in the workup of lumbar compression fracture?

What are the treatment options for lumbar compression fracture?

What is the indication for rehabilitation in lumbar compression fracture?

When is surgical intervention indicated for the management of lumbar compression fracture?

What is the role of vertebroplasty and kyphoplasty in the management of lumbar compression fracture?

What are the mechanics of lumbar compression fractures?

What is the impact of a lumbar compression fracture?

What are common causes of lumbar compression fracture?

How are different fractures in the lumbar (or thoracic) spine classified?

What are the different types of traumatic fractures?

What is the pathophysiology of a lumbar compression fracture in osteoporosis?

What is the role of malignancy in the pathogenesis of lumbar compression fracture?

What is the prevalence of lumbar compression fracture in the US?

What is the mortality and morbidity associated with lumbar compression fracture?

How does the incidence of lumbar compression fracture vary by sex?

What are the age predilections of lumbar compression fracture?

Presentation

What are the signs and symptoms of lumbar compression fractures?

Which clinical history of pain suggests lumbar compression fracture?

What clinical history of malignancies suggests lumbar compression fracture?

What is the significance of symptoms of infections in the evaluation of lumbar compression fracture?

What is the indication for a neurologic exam in lumbar compression fracture?

What are the physical findings characteristic of lumbar compression fracture?

What is the most common underlying cause of lumbar compression fractures?

What is the role of malignancy in the etiology of lumbar compression fracture?

What is the role of infection in the etiology of lumbar compression fracture?

DDX

What conditions should be considered in the differential diagnoses of lumbar compression fracture?

What are the differential diagnoses for Lumbar Compression Fracture?

Workup

What is the role of blood tests in the workup of lumbar compression fractures?

What is the role of urine testing in the workup of lumbar compression fracture?

What is the role of radiography in the workup of lumbar compression fracture?

What is the role of CT scanning in the workup of lumbar compression fracture?

What is the role of MRI in the workup of lumbar compression fracture?

What is the role of dual energy radiographic absorptiometry (DRA) scanning in the workup of lumbar compression fracture?

What is the role of PET scanning in the workup of lumbar compression fracture?

When is a biopsy indicated in the evaluation of lumbar compression fracture?

Treatment

What are the nonoperative treatment options for lumbar compression fracture?

When is inpatient rehabilitation indicated in the treatment of lumbar compression fractures?

What are the treatment options for elderly patients with osteoporotic lumbar compression fractures?

What is the efficacy of conservative management of lumbar compression fractures?

What is the indication for occupational therapy in lumbar compression fractures?

What is the indication for recreational therapy in lumbar compression fractures?

How can the frequency of secondary medical complications be decreased in patients with lumbar compression fractures?

What are co-morbidities and complications of osteoporotic lumbar fractures?

What are comorbidities and complications in pathologic fractures?

What are comorbidities and complications in traumatic lumbar compression fractures?

What is the indication for surgical intervention in lumbar compression fracture?

What are possible neurological impairments of lumbar compression fractures?

What are the surgical options for the treatment of lumbar compression fractures?

What is the indication for postoperative bracing of lumbar compression fractures?

Which specialist consultations are recommended for the treatment of lumbar compression fractures?

What is the indication for a vertebroplasty and kyphoplasty in the treatment of lumbar compression fracture?

What does a vertebroplasty involve in the treatment of lumbar compression fracture?

What is the efficacy of a vertebroplasty for the treatment of lumbar compression fractures?

What does a kyphoplasty for lumbar compression fractures involve?

What is the indication for kyphoplasty for the treatment of lumbar compression fracture?

What are the possible risks of vertebroplasty and kyphoplasty for the treatment of lumbar compression fracture?

What are the benefits of vertebroplasty and kyphoplasty for the treatment of lumbar compression fracture?

Medications

What are the goals of medications in the treatment of lumbar compression fracture?

Which medications are needed for lumbar compression fracture in patients with spinal cord injuries?

What is the role of spinal nerve block in the treatment of lumbar compression fractures?

Which medications in the drug class Selective estrogen modulators are used in the treatment of Lumbar Compression Fracture?

Which medications in the drug class Bisphosphonates are used in the treatment of Lumbar Compression Fracture?

Which medications in the drug class Antiosteoporotic agents are used in the treatment of Lumbar Compression Fracture?

Which medications in the drug class Parathyroid hormones, recombinant are used in the treatment of Lumbar Compression Fracture?

Which medications in the drug class Analgesics are used in the treatment of Lumbar Compression Fracture?

Follow-up

What should be included in outpatient physical therapy for lumbar compression fractures?

How frequently should radiographic monitoring of lumbar compression fractures be performed?

When is inpatient rehabilitation indicated for lumbar compression fractures?

What is the role of pain medications in the treatment of lumbar compression fractures?

How is osteoporosis managed in patients with lumbar compression fractures?

What is the indication for transfer of patients with lumbar compression fractures?

How are lumbar compression fractures prevented?

When do complications of lumbar compression fractures occur?

What is the prognosis of lumbar compression fractures?

What information about lumbar compression fractures should patients receive?