Osteoporotic spinal fractures tend to occur in the elderly, especially those in their 70s and above. The cause of it is due to osteoporosis, which is a condition associated with a decrease in the quantity of bone mass. Though this condition can affect both genders, postmenopausal women are more commonly affected.
These fragility fractures are usually associated with low impact trauma such as falling in the bathroom etc. However, many of such cases can occur in the absence of any traumatic event.
Back pain, especially at the fracture site, is the most common complaint. This pain can persist for up to two weeks and usually improve with bed rest or the wearing of a back brace.
In severe and chronic cases, some patients will notice they are hunched over and are shorter in height. This is due to the progression of the fracture which has led to the development of a kyphotic deformity.
Your doctor will assess your posture, movement, and strength to evaluate how your spine and muscles are functioning.
An X-ray helps detect signs of fractures, degenerative changes, or issues in the bones of the spine.
An MRI provides detailed images of soft tissues like discs, muscles, and nerves, helping identify conditions such as herniated discs or nerve compression.
A CT scan allows us to visualize the bones more clearly.
This condition can be initially treated conservatively with the wearing of a spinal brace and the consumption of some painkillers. Serial X-rays should be taken regularly to look out for possible worsening of the fracture.
If the X-rays show further displacement of the fracture or the backache cannot be controlled adequately with painkillers, a keyhole procedure called kyphoplasty can be performed. This procedure is usually performed in the operating theatre with the patient sedated. It involves the insertion of an inflatable balloon to jack up the collapsed vertebral body and then cement is injected into the fracture site to stabilise it. The pain relief the patient will experience is almost instantaneous.
In addition to treating the spinal fracture, it is important that we treat the underlying osteoporosis which is the root cause of the problem. Taking calcium and Vitamin D supplements is the easiest way to start tackling the problem.
Depending on how severe the osteoporosis is, there are several medications ranging from once-a-week oral medications to six monthly injections to choose from. We should also participate in some weightlifting exercises to build up our muscle mass as well as spend some time in the sun to increase our Vitamin D levels.
There are a variety of pain treatment options available, ranging from non-surgical methods to surgery, depending on the severity of your condition.
In some cases, surgery may be necessary if other treatments have not provided sufficient relief or if you are suffering from conditions such as a herniated disc, spinal stenosis, or severe nerve compression. Surgical options might include:
We work closely with trusted insurance partners to make your treatment seamless. Contact us, and we’ll guide you through the process at every step of the way.
Dr. Marcus Ling is a Senior Consultant Orthopaedic Surgeon with a special focus on minimally invasive and motion-preserving spinal surgery. A dedicated clinician and educator, he has led advancements in spinal care while mentoring future surgeons. Known for his compassionate approach, he prioritises patient well-being, ensuring expert, personalised treatment for every individual. Dr. Ling is also one of the few surgeons that can perform awake spinal fusion without the need for general anaesthesia. This approach minimises downtime, allowing patients to be discharged within 24 hours of surgery when possible.
Reach out to our team today to explore your treatment options, schedule an appointment and start your journey towards enhanced health and mobility.
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