| 词条 | Vertebral compression fracture | |
| 释义 |
| name = Compression fracture | synonyms = | image = Blausen 0250 CompressionFracture Vertebrae.png | caption = Example of vertebral compression fracture. | pronounce = | field = | | symptoms = | complications = | onset = | duration = | types = | causes = | risks = | diagnosis = | differential = | prevention = | treatment = | medication = | prognosis = | frequency = | deaths = }} A compression fracture is a collapse of a vertebra. It may be due to trauma or due to a weakening of the vertebra (compare with burst fracture). This weakening is seen in patients with osteoporosis or osteogenesis imperfecta, lytic lesions from metastatic or primary tumors,[1] or infection.[2] In healthy patients, it is most often seen in individuals suffering extreme vertical shocks, such as ejecting from an ejection seat. Seen in lateral views in plain x-ray films, compression fractures of the spine characteristically appear as wedge deformities, with greater loss of height anteriorly than posteriorly and intact pedicles in the anteroposterior view.[3] Signs and symptomsAcute fractures will cause severe back pain. Compression fractures which develop gradually, such as in osteoporosis, may initially not cause any symptoms, but will later often lead to back pain and loss of height. DiagnosisCompression fractures are usually diagnosed on spinal radiographs, where a wedge-shaped vertebra may be visible or there may be loss of height of the vertebra. In addition, bone density measurement may be performed to evaluate for osteoporosis. When a tumor is suspected as the underlying cause, or the fracture was caused by severe trauma, CT or MRI scans may be performed. TreatmentConservative treatment
Surgical
References1. ^{{cite web |first=Kristy |last=Weber |date=February 28, 2006 |url=http://www.hopkins-arthritis.org/physician-corner/cme/rheumatology-rounds/metastatic_bone_disease_rheumrounds2.html |title=Rounds 2: Treatment of Metastatic Bone Disease |publisher=Johns Hopkins Arthritis Center}} 2. ^{{cite web |url=https://www.nlm.nih.gov/medlineplus/boneinfections.html |title=Bone Infections |date=September 7, 2011 |publisher=MedlinePlus}} 3. ^{{cite book |last1=Brant |first1=William E. |last2=Helms |first2=Clyde A. |year=2007 |chapter=Benign Compression Fracture |chapterurl=https://books.google.com/books?id=Sossht2t5XwC&pg=PA302 |title=Fundamentals of Diagnostic Radiology |edition=3rd |page=302 |publisher=Lippincott Williams & Wilkins |location=Philadelphia |isbn=978-0-7817-6135-2}} 4. ^{{cite journal|last1=Freedman|first1=B. A.|last2=Heller|first2=J. G.|title=Kummel Disease: A Not-So-Rare Complication of Osteoporotic Vertebral Compression Fractures|journal=The Journal of the American Board of Family Medicine|volume=22|issue=1|year=2009|pages=75–78|issn=1557-2625|doi=10.3122/jabfm.2009.01.080100}} 5. ^{{cite web|url=http://www.oandp.com/oandp-l/message.asp?frmMessageId=73C88D08-3753-4A8A-ADF6-144E33E73564 | title=Jewett vs. TLSO Replies | work=OANDP-L on oandp.com | date=2010-09-27 | accessdate=2012-09-02 }} 6. ^{{cite web | url=http://www.medicine.ox.ac.uk/bandolier/booth/painpag/Chronrev/muscskel/CP104.html | archive-url=https://www.webarchive.org.uk/wayback/archive/20090608194055/http://www.medicine.ox.ac.uk/bandolier/booth/painpag/Chronrev/muscskel/CP104.html | dead-url=yes | archive-date=2009-06-08 | title=Calcitonin for osteoporotic fractures | accessdate=2012-09-03 }} 7. ^{{cite journal |doi=10.1007/s00198-004-1798-8 |title=Calcitonin for treating acute pain of osteoporotic vertebral compression fractures: A systematic review of randomized, controlled trials |year=2004 |last1=Knopp |first1=Jennifer A. |last2=Diner |first2=Barry M. |last3=Blitz |first3=Maurice |last4=Lyritis |first4=George P. |last5=Rowe |first5=Brian H. |journal=Osteoporosis International |volume=16 |issue=10 |pages=1281–90 |pmid=15614441}} 8. ^1 {{cite journal |doi=10.1097/01.brs.0000244639.71656.7d |title=Balloon Kyphoplasty and Vertebroplasty for Vertebral Compression Fractures |year=2006 |last1=Taylor |first1=Rod S. |last2=Taylor |first2=Rebecca J. |last3=Fritzell |first3=Peter |journal=Spine |volume=31 |issue=23 |pages=2747–55 |pmid=17077747}} 9. ^{{cite journal |doi=10.1007/s00586-007-0308-z |title=Balloon kyphoplasty in the management of vertebral compression fractures: An updated systematic review and meta-analysis |year=2007 |last1=Taylor |first1=Rod S. |last2=Fritzell |first2=Peter |last3=Taylor |first3=Rebecca J. |journal=European Spine Journal |volume=16 |issue=8 |pages=1085–100 |pmid=17277923 |pmc=2200787}} 10. ^{{cite journal |doi=10.1007/s00198-011-1639-5 |title=Balloon kyphoplasty and vertebroplasty in the management of vertebral compression fractures |year=2011 |last1=Boonen |first1=S. |last2=Wahl |first2=D. A. |last3=Nauroy |first3=L. |last4=Brandi |first4=M. L. |last5=Bouxsein |first5=M. L. |last6=Goldhahn |first6=J. |last7=Lewiecki |first7=E. M. |last8=Lyritis |first8=G. P. |last9=Marsh |first9=D. |last10=Obrant |first10=K. |last11=Silverman |first11=S. |last12=Siris |first12=E. |last13=Åkesson |first13=K. |journal=Osteoporosis International |volume=22 |issue=12 |pages=2915–34 |pmid=21789685|display-authors=8 |author14=CSA Fracture Working Group of International Osteoporosis Foundation }} 11. ^{{cite journal |doi=10.1007/s00264-011-1283-x |title=Percutaneous vertebroplasty versus balloon kyphoplasty for treatment of osteoporotic vertebral compression fracture: A meta-analysis of randomised and non-randomised controlled trials |year=2011 |last1=Han |first1=Shiliang |last2=Wan |first2=Shuanglin |last3=Ning |first3=Lei |last4=Tong |first4=Yongjun |last5=Zhang |first5=Jianfeng |last6=Fan |first6=Shunwu |journal=International Orthopaedics |volume=35 |issue=9 |pages=1349–58 |pmid=21637959 |pmc=3167445}} Further reading
External links{{Medical resources| ICD10 = | ICD9 = {{ICD9|733.13}} (pathological), {{ICD9|805}}-{{ICD9|806}} (traumatic) }}{{Fractures}} 2 : Bone fractures|Orthopedic problems |
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