| Abstract [eng] |
Aim: This investigation aims to review literature findings that contribute to the understanding of the epidemiology of osteoporotic vertebral fractures, examine diagnostic hurdles, discuss classification criteria, explore treatment choices, and present examples of clinical cases. Description of clinical cases: Case 1: A 64-year-old woman with severe back pain was diagnosed with an osteoporotic fracture in 2019. After undergoing a segmental internal fixation and4 laminectomy, she experienced escalating pain and leg weakness. An intravertebral spacer (PEEK Cage implant) was inserted and improved her mobility. Patient did not seek further treatment. Case 2: A 66-year-old woman suffered a back fracture in 2015, leading to osteoporosis and vertebroplasty. She was prescribed bisphosphonates and treated with selective blockades. In 2021, severe back pain required L4-L5 fixation and L4/L5 laminectomy. In 2023 and 2024, she underwent three selective blockades, resulting in pain relief and referral to rehabilitation treatment. Conclusions: Osteoporotic vertebral fractures are increasing in women, especially postmenopausal women, due to degenerative changes in bone tissue. Symptoms include back pain, height loss, spinal deformities, and spinal canal stenosis. Diagnosis involves X-rays, computed tomography, and magnetic resonance imaging. There is no universally accepted classification system for osteoporotic fractures, so non-osteoporotic fractures are used. Conservative treatment includes pain management, osteoporosis treatment, orthopedic support, and rehabilitation. In cases of osteoporotic vertebral fractures with signs of instability, spinal fixation is recommended, with expandable screws or cement-injected cannulated screws showing better fusion results. |
