Compression fractures of the back

Definition

Compression fractures of the back are broken vertebrae. Vertebrae are the bones of the spine.

Causes

Osteoporosis is the most common cause of this type of fracture. Osteoporosis is a disease in which bones become fragile. In most cases, bone loses calcium and other minerals with age.

Having many fractures of the vertebrae can lead to kyphosis. This is a hump-like curvature of the spine.

Symptoms

Compression fractures can occur suddenly. This can cause severe back pain.

Compression fractures due to osteoporosis may cause no symptoms at first. Often, they are discovered when x-rays of the spine are done for other reasons. Over time, the following symptoms may occur:

Pressure on the spinal cord from hunched over posture can, in rare cases, cause:

Exams and Tests

Your health care provider will perform a physical exam. This may show:

A spine x-ray shows at least 1 compressed vertebra that is shorter than the other vertebrae.

Other tests that may be done:

Treatment

Most compression fractures are seen in older people with osteoporosis. These fractures often do not cause injury to the spinal cord. The condition is usually treated with medicines and calcium supplements to prevent further fractures.

Pain may be treated with:

Other treatments may include:

Surgery may be done if you have severe and disabling pain for more than 2 months that does not get better with other treatments. Surgery can include:

Other surgery may be done to remove bone if the fracture is due to a tumor.

After surgery you may need:

Outlook (Prognosis)

Most compression fractures due to injury heal in 8 to 10 weeks with rest, wearing of a brace, and pain medicines. However, recovery can take much longer if surgery was done.

Fractures due to osteoporosis often become less painful with rest and pain medicines. Some fractures, though, can lead to long-term (chronic) pain and disability.

Medicines to treat osteoporosis can help prevent future fractures. However, medicines cannot reverse damage that has already occurred.

For compression fractures caused by tumors, the outcome depends on the type of tumor involved. Tumors that involve the spine include:

Possible Complications

Complications may include:

When to Contact a Medical Professional

Call your provider if:

Prevention

Taking steps to prevent and treat osteoporosis is the most effective way to prevent compression or insufficiency fractures. Getting regular load-bearing exercise (such as walking) can help you avoid bone loss.


Review Date: 7/13/2015
Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

This information should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. © 1997- 2007 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.