Treating Compression Fractures: Interventional vs. Surgical Solutions

Osteoporosis: A Closer Look

Osteoporosis is a condition characterized by decreased bone strength, making bones more susceptible to fractures. This decrease in bone density is measured by a DEXA scan, with a t-score of less than -2.5 indicating osteoporosis. This condition affects an estimated 18.3% of the global population; in the U.S., the prevalence rises to 19.6% among women over 50, largely attributed to reduced estrogen levels post-menopause. 

These hormonal shifts disrupt bone remodeling, heightening the risk of vertebral compression fractures seen in 25% of postmenopausal women. Beyond menopause, risk factors such as lifestyle choices and specific health conditions can adversely affect bone health.

Compression Fractures Explained

Osteoporosis often leads to compression fractures in the spinal vertebrae due to the bones' weakened state. The U.S. sees around 700,000 cases each year, with risk factors for these fractures including age, menopause, and prior fractures, among others. These fractures typically manifest as sudden, intense low back pains that exacerbate with movement or weight bearing. In some instances, though, these fractures are found incidentally during routine imaging.

Navigating Treatment Options  

• Conservative and Interventional Approaches

The goal of treatment is to regain mobility, reduce pain, and prevent future fractures, achievable through both non-surgical and surgical strategies. Conservative methods include pain relief through NSAIDs and calcitonin, which prevents bone loss, and medications targeting osteoporosis like bisphosphonates and selective estrogen receptor modulators. Additionally, regenerative medicine therapies, such as those offered by Regenexx providers like Dr. Matthew Kohler, are showing increasing promise in treating complex musculoskeletal conditions such as these.   

• Minimally Invasive Surgical Options

When conservative approaches fall short, minimally invasive procedures such as kyphoplasty and vertebroplasty become viable options. These techniques, which involve injecting a biocompatible bone cement into the vertebrae, can significantly alleviate pain. Selecting the most fitting treatment plan necessitates a comprehensive discussion with your healthcare provider to tailor the approach to your needs.

Reach Out for Expert Care

Facing osteoporosis and compression fractures  can be daunting, but there are numerous avenues for treatment. To determine the most suitable approach for your condition, we invite you to schedule an initial consultation at Ospina Medical. Dr. Kohler and the rest of his highly skilled team are trained in promoting personalized care through comprehensive health reviews and interventional or regenerative medicine procedures. At Ospina Medical, we are dedicated to aiding your path to enhanced health and wellness.

Written By: Cherubina Rubannelsonkumar 

Edited By: Camden Rowe

Medically Reviewed By: Matthew Kohler, MD