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Chapter-135 Vertebral Augmentation

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. C Warner
2. Clinical Radiology of Oklahoma Spine Fracture Institute, Edmond, OK, USA
ISBN
9789386261458
DOI
10.5005/jp/books/14128_136
Edition
3/e
Publishing Year
2018
Pages
3
Author Affiliations
1. Spine Fracture Institute, Edmond, OK, USA
Chapter keywords
Vertebral compression fracture, VCF, degenerative disc disease, facet arthropathy, spinal canal, neural foraminal stenosis, magnetic resonance imaging, vertebroplasty

Abstract

Vertebral compression fractures (VCFs) are the most common osteoporotic fractures. In the U.S., there are 1.5 million VCFs that occur annually and worldwide there is a vertebral fracture every 22 seconds. Overall, 25% of women over the age of 65 years and 40% of women over the age of 80 years will have a VCF. A detailed history and physical examination are essential to the diagnosis of a symptomatic VCF. There are many different pain generators in the spine including degenerative disc disease, facet arthropathy, spinal canal, or neural foraminal stenosis; and the characteristics of fracture pain must be separated from the pain produced by other spine pathology. Osteoporotic VCFs may be differentiated from malignant or metastatic fractures based on their MRI appearance.

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