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A compression fracture is a collapse of a vertebra. It may be due to trauma or due to a weakening of the vertebra (compare with burst fracture ). This weakening is seen in patients with osteoporosis or osteogenesis imperfecta , lytic lesions from metastatic or primary tumors , [ 1 ] or infection. [ 2 ]
Vertebral fractures in children or elderly individuals can be related to the development or health of their spine. The most common vertebral fracture in children is spondylolysis which can progress to spondylolisthesis. [11] The immature skeleton contains growth plates which have not yet completely ossified into stronger mature bone. [11]
Back pain is present in 29% of patients with systemic cancer. [19] Unlike other causes of back pain that commonly affect the lumbar spine, the thoracic spine is most commonly affected. [19] The pain can be associated with systemic symptoms such as weight loss, chills, fever, nausea and vomiting. [19]
The symptoms of a vertebral collapse ("compression fracture") are sudden back pain, often with radicular pain (shooting pain due to nerve root compression) and rarely with spinal cord compression or cauda equina syndrome. Multiple vertebral fractures lead to a stooped posture, loss of height, and chronic pain with resultant reduction in ...
Physical examination, medical imaging (CT and X-rays) Differential diagnosis: Vascular claudication, trochanteric bursitis, piriformis syndrome, muscle pain, vertebral compression fracture, compartment syndrome, peripheral neuropathy, lumbar radicular syndrome (lumbar radiculopathy) and pain in other spinal structures: hip, myofascia ...
Spinal cord compression is a form of myelopathy in which the spinal cord is compressed. Causes can be bone fragments from a vertebral fracture, a tumor , abscess , ruptured intervertebral disc or other lesion.
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