Current Evaluation and Management of Vertebral Compression Fractures

AbstractPurpose of ReviewVertebral compression fractures (VCFs) pose a significant burden of disease in an aging population. We aim to review current evidence for optimal management of this problem.Recent FindingsThere is little high-quality evidence to guide treatment. While non-surgical management is the mainstay of treatment, there is no strong evidence to recommend bed rest, bracing, or opioid analgesics. Calcitonin may have a role in the management of acute pain. Cement augmentation may have a benefit in acute VCFs involving the thoracolumbar junction. Clinicians should maintain a high index of suspicion for underlying malignancy in the setting of VCFs.SummaryThere is a lack of a clear consensus for the management of VCFs. Treatment should be individualized to each patient ’s overall clinical and functional status, with an aim of resolving acute pain and allowing early mobilization. Further high-quality studies are required to guide optimal treatment.
Source: Current Geriatrics Reports - Category: Geriatrics Source Type: research