Navigation Links
More Americans Suffer from Vertebral Compression Fractures

An estimated 10 million Americans have osteoporosis, and an additional 34 million are estimated to have low bone mass, placing them at increased risk for developing this condition.//

Of the 10 million Americans with osteoporosis, 8 million women have the condition and 2 million men. Along with hip and wrist fractures, severe osteoporosis can cause compression fractures in the spine. This occurs when the bony block or vertebral body in the spine collapses, which can lead to severe pain, deformity and loss of height. While osteoporosis is the most common cause, these fractures may also be caused by trauma or metastatic tumors. “In the past, people with severe pain from vertebral compression fractures (VCFs) were treated with bed rest, medications, bracing, or invasive spinal surgery, usually with limited effectiveness,” said Christopher Shaffrey, MD, a spine surgeon and American Association of Neurological Surgeons (AANS) spokesperson.

Vertebroplasty for the treatment of VCFs was introduced in the United States in the early 1990s. The procedure is usually done on an outpatient basis, although some patients stay in the hospital overnight. Vertebroplasty takes from one to two hours to perform, depending on the number of vertebrae being treated. The procedure may be performed with a local anesthetic and intravenous sedation or general anesthesia. Using x-ray guidance, a small needle containing specially formulated acrylic bone cement is injected into the collapsed vertebra. The cement hardens within minutes, strengthening and stabilizing the fractured vertebra. Most experts believe that pain relief is achieved through mechanical support and stability provided by the bone cement.

A newer procedure, called kyphoplasty, involves an added procedure performed before the cement is injected into the vertebra. First, two small incisions are made and a probe is placed into the vertebral space where the fracture is located. The bone is drilled and one balloon (called a bone tamp) is inserted on each side. The two balloons are then inflated with contrast medium (which are visualized using image guidance x-rays) until they expand to the desired height and removed. The spaces created by the balloons are then filled with the cement. Kyphoplasty has the added benefit of restoring height to the spine.

Patients with the following criteria may be considered candidates for vertebroplasty or kyphoplasty:

?Osteoporotic VCFs in any area of the spine that have been present for more than two weeks, causing moderate to severe pain, and unresponsive to conservative therapy
?Painful metastases and multiple myelomas
?Painful vertebral hemangiomas (benign, malformed vascular tumors composed of newly formed blood vessels)
?Vertebral osteonecrosis (a condition resulting from poor blood supply to an area of bone, which causes bone death)
?Reinforcement of a pathologically weak vertebral body before a surgical stabilization procedure
Patients with any of the following criteria should not undergo these procedures:

?A VCF that is completely healed or is responding effectively to conservative therapy
?A VCF that has been present for more than one year
?Greater than 80 to 90 percent collapse of the vertebral body
?Spinal curvature such as scoliosis or kyphosis that is due to causes other than osteoporosis
?Spinal stenosis or herniated discs with nerve or spinal cord compression and loss of neurological function not associated with a VCF
?Untreated coagulopathy (a disease or condition affecting the blood's ability to coagulate)
?Osteomyelitis (an inflammation of the bone and bone marrow, usually caused by bacterial infection)
?Discitis (nonbacterial inflammation of an intervertebral disc or disc space)
?Significant compromise of the spinal canal caused by impeding bone fragment or tumor
Complication rates for vertebroplasty and kyphoplasty have been estimated at less than 2 percent for osteoporotic VCFs and up to 10 percent for malignant tumor-related VCFs. The benefits of surgery should always be weighed carefully against its risks. “Although a large percentage of patients report significant pain relief after these two procedures, there is no guarantee that surgery will help every individual,” stated Dr. Shaffrey.

Source-Newswise
RM
'"/>




Related medicine news :

1. Poll Finds Many Americans Misinformed About Cancer
2. Poll Finds Many Americans Misinformed About Cancer
3. Hypertension Drug of Choice for African Americans
4. 38 million Americans including 14 million children left to combat hunger
5. Americans Consume Far Too Much Salt and Sodium
6. Americans Growing Out Of Shape
7. Rise in Stress among Americans
8. Home Remedies More Used By Blacks And Native Americans
9. 90 Million Americans Harbor Drug Resistant Bacteria Inside Their Nose
10. Aspirin, Not Used By African Americans And Diabetics To Prevent Heat Problems
11. Americans Not Interested In Choosing Sex Of Child: Survey
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/26/2016)... Carolina (PRWEB) , ... June 26, 2016 , ... ... of a new product that was developed to enhance the health of felines. The ... centuries. , The two main herbs in the PawPaws Cat Kidney Support ...
(Date:6/25/2016)... ... 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due to a ... new, often overlooked aspect of head lice: the parasite’s ability to live away from a ... occurrence, but a necessary one in the event that lice have simply gotten out of ...
(Date:6/25/2016)... ... ... Friday, June 10, Van Mitchell, Secretary of the Maryland Department of Health and Mental ... exemplary accomplishments in worksite health promotion. , The Wellness at Work Awards took place ... BWI Marriott in Linthicum Heights. iHire was one of 42 businesses to receive an ...
(Date:6/24/2016)... ... ... Marcy was in a crisis. Her son James, eight, was out of control. Prone to ... , “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there ... my other children and say he was going to kill them. If we were ...
(Date:6/24/2016)... ... ... of Topricin and MyPainAway Pain Relief Products, join The ‘Business for a Fair Minimum Wage’ ... 2020 and then adjusting it yearly to increase at the same rate as the median ... floor does not erode again, and make future increases more predictable. , The company is ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... , June 27, 2016  VMS Rehab Systems, ... Board will take whatever measures required to build a ... stock which is currently listed on the OTC Markets-pink ... Company Chairman and CEO, "We are seeing an anomaly ... to understand, not only by the Company, but shareholders ...
(Date:6/24/2016)... FRANCISCO, Calif. , June 24, 2016 /PRNewswire/ ... ), a biopharmaceutical company developing novel therapeutics for ... unmet needs, today announced the closing of its ... of common stock, at the public offering price ... in the offering were offered by GBT. GBT ...
(Date:6/24/2016)... -- The Academy of Managed Care Pharmacy (AMCP) today ... allow biopharmaceutical companies to more easily share health care ... coverage decisions, a move that addresses the growing need ... The recommendations address restrictions in the sharing of product ... a prohibition that hinders decision makers from accessing HCEI ...
Breaking Medicine Technology: