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Vertebral Compression Fracture

WHAT YOU SHOULD KNOW

A vertebral compression fracture, also called a vertebral crush fracture, is a collapse or breakdown of one or more of the bones in your spine (the vertebrae).

Causes

This type of fracture typically results when osteoporosis, the ""brittle bone'' disease, weakens the bones in the spine. Lack of calcium and sustained use of some medicines can also lead to weaker bones. A fall or jump may cause the fracture; but the bones sometimes collapse from the body's own weight.

Signs/Symptoms

If the injury occurs suddenly, you may have severe pain or weakness in your back, arms, or legs. If the collapse happens more slowly, the pain may be much milder. You might also experience problems with urination and bowel movements.

Care

You may need an x-ray of the spine to determine the location of the injury. Casts and splints aren't used for this type of fracture, but you may need to wear a back support. Your doctor also will probably prescribe medication for the pain and drugs that will gradually strengthen the bones.

WHAT YOU SHOULD DO

  • Avoid heavy lifting and strenuous exercise until your doctor says you may resume your normal activities.
  • If you are using a back support, wear it until your doctor says you no longer need to.
  • You may take nonprescription medications, such as aspirin, acetaminophen, and ibuprofen, to relieve the pain.

Call Your Doctor If...

  • The pain gets worse.
  • You have problems taking your medicine.
  • The pain prevents you from sleeping or resting comfortably.

Seek Care Immediately If...

  • You have numbness or tingling in your arms or legs.
  • The pain becomes so severe that you cannot care for yourself.
  • You begin to have problems controlling your bladder or bowels.

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