
Osteoporosis is a condition in which bones have reduced density and strength, which is common in postmenopausal women and men over 70 years of age. It was found that the risk of fractures is significantly increased in patients diagnosed with osteoporosis.
The locations of fractures from osteoporosis are common are the hip, spine, and distal extremities. Hip fractures cause a relatively high mortality rate, disability, and reduced ability to perform daily activities, affecting families and society.
Compression fractures from osteoporosis are the most common fractures from osteoporosis. They may occur without a history of previous accidents. Most often, there are no symptoms, especially in cases where the compression fracture is not severe enough to cause a hunched back more than the average person. However, in some cases, there will be severe pain and the inability to sit up or stand, which can be diagnosed by X-rays of the thoracic and lumbar spines.
After a compression fracture, the back will be hunched or curved, and the volume of the abdominal cavity and thoracic cavity will decrease. This results in abdominal distension and difficulty breathing, leading to disability and a reduction in the patient's quality of life. In the treatment of spinal fractures from osteoporosis, there are two main approaches to consider: non-surgical treatment and surgical treatment.
The goal of non-surgical treatment is to reduce pain, including bed rest, pain medication, spinal prosthetics, and physical therapy.
Surgical treatment is used in cases where the non-surgical treatments mentioned above are ineffective or there are symptoms of nerve compression. The current standard surgical treatment methods include injecting cement through the skin into the spine to treat spinal fractures from osteoporosis, and open surgery to treat nerve compression along with inserting metal anchors to fix the spine to strengthen it.
Patients with spinal fractures from osteoporosis should receive continuous care to prevent future fractures by taking enough calcium and vitamin D, taking osteoporosis medication regularly, and focusing on preventing falls in the future.