injuries poisoning
Vertebral Compression Fractures
Treatment of Vertebral Compression Fractures
Analgesics Early mobilization and physical therapy Treatment of vertebral fractures focuses on pain relief and early mobilization. Analgesics are given. Early resumption of normal activity helps limit further bone loss and disability. Physical therapists can help by teaching correct lifting techniques and prescribing exercises to strengthen paravertebral muscles, but therapy may need to be delayed until pain is controlled. Treatment , if present, should be treated (eg, with a bisphosphonate). Bracing is commonly prescribed, but its efficacy is unclear. In some cases, vertebroplasty, sometimes preceded by kyphoplasty, can relieve severe pain. In vertebroplasty, methyl methacrylate is injected into the vertebral body. In kyphoplasty, the vertebral body is expanded with a balloon. These procedures may reduce deformity in the injected vertebrae but do not reduce and may even increase the risk of fractures in adjacent vertebrae. Other risks may include rib fractures, cement leakage, and pulmonary edema or myocardial infarction (MI). If fractures result from significant trauma, the spine is immobilized immediately, and CT or MRI is done to evaluate the stability of the fractures. Treatment , if present, are treated promptly, and supportive care (eg, analgesics, early mobilization) is provided. 