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Normal Bone Physiology
Pages 1-8
Vertebral compression fractures (VCFs) are the most common type of fracture secondary to osteoporosis. These fractures are associated with significant rates of morbidity and mortality and annual direct medical expenditures of more than $1 billion in the United States. This book presents a concise review of the diagnosis, management and treatment of vertebral compression fractures, discussing best practices for evaluation and radiographic diagnosis of vertebral compression fractures, as well as both non-operative and operative treatment options, including cement augmentation.
Opening chapters discuss both normal bone physiology as well as the pathophysiology of osteoporotic bone, and the evaluation and biomechanics of VCF, both osteoporotic and pathologic. Examination, radiography and long-term sequelae of VCF are then presented. The bulk of the remainder of the book focuses on medical, non-operative and operative management strategies, including vertebroplasty and kyphoplasty cement augmentation, management of spinal deformity, VCF adjacent to previous spinal fusion, and sacral insufficiency fractures. A final chapter on future treatment strategies rounds out the presentation. Spinal Compression Fractures in Osteoporotic and Pathologic Bone is ideal for orthopaedic trauma, spine, and neurosurgeons. The book is also intended for endocrinologists, rheumatologists, interventional radiologists, physiatrists, anesthesiologists, primary care physicians, and other practitioners who manage and treat patients with osteoporosis.
Normal Bone Physiology
Pages 1-8
Pathophysiology and Epidemiology of Osteoporosis
Pages 9-20
The Economic Burden of Osteoporosis
Pages 21-29
Evaluation and Medical Management of Vertebral Osteoporosis: Preventing the Next Fracture
Pages 31-47
Biomechanics of Vertebral Compression Fractures
Pages 49-55
Osteoporotic Vertebral Compression Fractures
Pages 57-62
Pathologic Vertebral Compression Fractures: Diagnosis and Management
Pages 63-68
History, Physical Exam, and Differential Diagnosis of Vertebral Compression Fracture
Pages 69-74
Radiographic Diagnosis of Patients with Vertebral Compression Fractures
Pages 75-94
Natural History and Long-Term Sequelae of Vertebral Compression Fractures
Pages 95-99
Medical, Interventional, and Orthotic Management of Osteoporotic Vertebral Compression Fractures
Pages 101-107
Outcomes of Non-operative Management and Vertebral Augmentation of Vertebral Compression Fractures
Pages 109-114
Vertebroplasty Cement Augmentation Technique
Pages 115-135
Kyphoplasty Cement Augmentation Technique
Pages 137-143
Management of Spinal Deformity in the Setting of Osteoporotic Vertebral Compression Fractures
Pages 145-152
Operative Treatment of Pathologic Compression Fractures of the Spine
Pages 153-182
Osteoporotic Vertebral Compression Fractures Adjacent to Previous Spinal Fusion
Pages 183-189
Surgical Strategies in Osteoporotic Bone
Pages 191-203
Sacral Insufficiency Fractures
Pages 205-220
Future Treatment Strategies
Pages 221-227
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