How Is a Compression Fracture Diagnosed?
If you believe you may have a compression fracture, your first step should be to see a doctor for a diagnosis. Your doctor will conduct a careful examination to assess the type and extent of the injury, as well as your overall health condition. Come to your first appointment prepared to discuss your symptoms, your medical history, and how the injury occurred.
The most common way to evaluate fractures is with imaging tests. X-rays provide clear images of bone, showing whether the bone is intact or broken and where the fracture is located. Magnetic resonance imaging (MRI) can show whether there is damage to the soft tissues around the fracture, and can sometimes help determine whether a fracture happened recently or many months ago. A CT scan can help your doctor assess whether the fracture extends into the spinal canal, where the nerve roots and spinal cord are located.
Your doctor may also order a bone density test. This type of scan is utilized to diagnose osteoporosis and assess how severe the condition is.
How Is a Compression Fracture Treated?
Many people with vertebral compression fractures get better within three months without specific medical treatments. Simple measures, such as the use of pain medications and a period of rest, are often all that is required. Some patients wear a pain relief and support brace to support the spine and restrict movement while the fracture heals.
If these conservative treatment methods like pain medication prove ineffective, surgical intervention is an option. Kyphoplasty is a minimally invasive procedure in which orthopedic cement is injected directly into the fractured vertebra to stabilize the bone. A special balloon is often placed into the affected vertebra and gently inflated before injection of the cement mixture. This step helps restore height to the vertebra, thus reducing deformity of the spine.