Spinal fractures

ABOUT SPINAL FRACTURES
Spinal fractures are quite common. In Australia there are an average of 4,000 patients treated for osteoporotic spinal
fractures each year.1

DEFINITION
A spinal fracture (vertebral compression fracture) occurs when one of the bones in the spine fractures or collapses.

CAUSES
The bones in your spinal column can break or collapse as a result of bone loss. Primary osteoporosis and
menopause aren’t the only culprits when it comes to bone loss. Cancer, chemotherapy, radiation therapy,
hyperthyroidism, and long-term use of corticosteroids also cause loss of bone mass and increase your risk for
Fracture.

SYMPTOMS
Back pain is a signal that something may be wrong. Sudden onset of pain or a chronic, dull ache in your back could
indicate other conditions including that a spinal fracture has occurred. If you have back pain that lasts for more than
several days, schedule a visit with your doctor so that the cause of your back pain can be determined and treated.
It’s also a good idea to keep an eye on your posture and height. Make it a point to routinely have your height
measured by a healthcare professional. Spinal fractures can cause the bones in your spine to collapse, and as a
result, height loss can occur.
Multiple spinal fractures can also cause postural changes or a dowager’s hump. If you’ve lost height or you have a
dowager’s hump, you should consult your doctor.

RISK FACTORS
Unfortunately, having one spinal fracture significantly increases your chances of having another. Over time, multiple
fractures can disrupt the alignment of your spine, causing it to tilt forward (dowager’s hump).
This forward curvature can become so pronounced that your balance is affected and your chest cavity compressed,
making it difficult to breathe, eat or sleep properly.2,3 Other risk factors include your age, gender, and lifestyle.

DIAGNOSIS
Report any new or unusual back pain to your doctor promptly. Early diagnosis can lead to more treatment options.
A physical exam, together with an x-ray, can help determine whether you have a spinal fracture or not.

REFERENCES
AIHW National Hospital Morbidity Database.
Silverman SL. The clinical consequences of vertebral compression fracture. Bone 1992;13 Suppl 2:S27-31.
Gold DT, Silverman SL. The downward spiral of vertebral osteoporosis: consequences (Monograph). Cedars-Sinai Medical Center 2003.

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