![]() What causes vertebral endplate narrowing? There are currently several theories on the causes of vertebral endplate changes. What is an Endplate Fracture? When the vertebral endplate fails to function properly, it is a fracture of the vertebral endplate in the spine. Endplate Fractures: Everything You Need To Know End plate fractures can be very painful and may require surgery to repair. However, they can also be caused by repetitive stress injuries, like those seen in athletes who play contact sports. What Causes End Plate Fracture?Įnd plate fractures are most commonly caused by trauma, such as a car accident or a fall. Compression fractures caused by cancer vary in severity depending on the type of cancer and how well the cancer responds to treatment. When treating fracture, medications may prevent it in the future, but they do not help with its healing. Osteoporosis is best treated before developing compression fractures in people with osteoporosis. These factors may help to strengthen your bones and prevent more fractures. There may also be a need for physical therapy and exercise. Bone-Strengthening medicine and calcium and vitamin D supplements may be required. If you have osteoporosis, your healthcare provider will most likely be able to treat your compression fracture. A compression fracture can cause bone fragments to attach themselves to the spinal cord and nerves. ![]() Other causes include car crashes and sports injuries, as well as tumors in the spine. The most common cause of compression fractures is osteoporosis. More severe fractures may require surgery to stabilize the spine.Ĭompression fractures are conditions that occur when compression forces weaken the vertebrae. Conservative treatment options include rest, ice, and pain medication. Treatment of superior endplate compression fractures depends on the severity of the fracture and the underlying cause. Superior endplate compression fractures can be caused by a variety of mechanisms, including trauma, osteoporosis, and cancer. This type of fracture is most commonly seen in the thoracic and lumbar spine. Symptomatic chronic fractures may also remain candidates for kyphoplasty because pain relief and improvement in patient function are reliable and some kyphosis correction can still be achieved in many of these patients.A superior endplate compression fracture is a fracture of the vertebral body that extends into the vertebral endplate above. 001).įracture reduction was best achieved in acute fractures. Local kyphosis significantly improved after kyphoplasty (mean local Cobb angle: acute, 15 to 8 degrees, p<. After kyphoplasty, less than 10% correction of height lost occurred in 8% of acute fractures and 20% of chronic fractures. In addition, more acute fractures were reducible (greater than 80% restoration of height lost) compared with chronic fractures (p=. Restoration to 89% or greater estimated normal vertebral height was achieved in 60% of acute fractures and 26% of chronic fractures. 001 chronic: 56% to 79% of estimated normal vertebral height, p<. Mean vertebral body height significantly improved after kyphoplasty (acute: 58% to 86% of estimated normal vertebral height, p<. Narcotic usage decreased and Oswestry scores improved in almost all patients. Radiographs were assessed as to percent vertebral collapse, vertebral height restoration and local kyphosis correction.īy 2 weeks after surgery, 90% of acute and 87% of chronic fractures were associated with pain relief. Mean patient age was 74 years (range, 47 to 91).Ĭlinical outcomes were determined by comparison of preoperative and postoperative data from patient-reported indexes (pain assessment, pain medication usage and Oswestry Disability Index for Back Pain). Fifteen subacute fractures (treated 10 to 16 weeks after fracture) were excluded from analyses.Įighty-six VCFs in 47 patients (35 female and 12 male) were treated during 55 kyphoplasty procedures. To assess whether kyphoplasty results in better clinical outcome and fracture reduction in patients with either acute or chronic VCFs.Ī prospective, consecutive cohort study of patients who underwent kyphoplasty between March 2000 and December 2001 to treat osteoporotic VCFs that were either less than 10 weeks old (acute) or more than 4 months old (chronic). Analyses comparing treatment outcomes of acute versus chronic VCFs have not yet been reported. Kyphoplasty, a minimally invasive technique for fracture reduction and stabilization, has been shown to reduce pain and restore vertebral body height in patients with vertebral compression fractures (VCFs). ![]()
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