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Conservative management of a lumbar compression fracture in an osteoporotic patient: a case report A combination of conservative rehabilitation strategies may be successfully implemented to treat osteoporotic patients with mild to moderate osteoporotic vertebral compression fracture of the lumbar spine.
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Summary: A combination of conservative rehabilitation strategies may be successfully implemented to treat osteoporotic patients with mild to moderate osteoporotic vertebral compression fracture of the lumbar spine. Keywords: compression fracture, osteoporosis, Graston Technique®, chiropractic, rehabilitation Résumé But :
Nowadays, with the aggravation of population aging, osteoporotic vertebral compression fractures (OVCFs) have gradually become a worldwide public health problem [8, 20].
Diagnosis. The diagnosis of a lumbar compression fracture or a wedge deformity was made using standard radiographs or computed tomography scan. The currently accepted radiographic measurement parameters require assessment of findings in sagittal alignment, vertebral body compression, and spinal canal dimensions.
Osteoporotic vertebral compression fractures (VCFs) are an increasing public health problem. Recently, randomised controlled trials on the use of kyphoplasty and vertebroplasty in the treatment of these fractures have been published, but no definitive conclusions have been reached on the role of these interventions.
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To chronicle the conservative treatment and management of an osteoporotic patient presenting with acute back pain resulting from a lumbar compression fracture.
To chronicle the conservative treatment and management of an osteoporotic patient presenting with acute back pain resulting from a lumbar compression fracture.
Individuals with osteoporosis have a greater likelihood of suffering vertebral compression fractures (VCFs), which can range from mild to severe in terms of associated pain and resultant disability.
A 74-year old male presented with acute back pain of three days duration localized to the region of the thoracolumbar spine. The patient explained that this pain occurred while he was lifting 30–40 lb pieces of wood.
Vertebral fractures are one of the important clinical manifestations of osteoporosis. The prevalence of vertebral fractures rises with age, and may increase as much as five times between the ages of 50–54 and 75–79. 9 The risk factors associated with VCFs and osteoporosis are similar 1, and include nonmodifiable and modifiable factors ( Table 2 ).
This case does demonstrate the successful management of moderate OVCF of the lumbar spine using a variety of conservative interventions that can easily be employed by chiropractic practitioners. Although favourable results were obtained, it is important to note that the nature of this investigation was that of a case study involving one patient.