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[Osteoporotic vertebral fracture and back pain].

The diagnosis of vertebral fracture is uncertain and there are few data concerning the descriptive natural course of vertebral fracture. We reviewed the pain of osteoporotic vertebral fracture. It is difficult that we diagnose the fresh vertebral fracture by plain X-ray film alone. We classified the vertebral fracture for the six types by the MRI findings of vertebral fracture and examined the relation with the MRI findings and the back pain. In the posterior wall damaged type, the back pain persisted long time. We concluded that the diagnosis of fresh osteoporotic vertebral fracture by MRI was useful for predicting the natural course of the back pain.