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Suggest Treatment For Compression Fracture Of D12 And L1 After Fall
Question: My mother age 85 suffered wedge compression of d12 and l1 vertebral body.
There are few degenerative changes in the form of osteophytes seen.
There is no evidence of osteo-lytic or asteo-sclerotic lesion involving bodies,pedicles,transverse
processes and spinous processes
The intervertebral disc spaces are compromised.
There is no evidence of paraspinal soft tissue shadowing.
please advice
Thanking you
XXXXXX
There are few degenerative changes in the form of osteophytes seen.
There is no evidence of osteo-lytic or asteo-sclerotic lesion involving bodies,pedicles,transverse
processes and spinous processes
The intervertebral disc spaces are compromised.
There is no evidence of paraspinal soft tissue shadowing.
please advice
Thanking you
XXXXXX
Brief Answer:
Osteoporosis may be the cause
Detailed Answer:
Hi
Thanks for posting your query
After going through your suffering, how she suffered the compression fracture
following fall? Please share in the follow up query.
At her age severe weakness of bone (osteoporosis) is very common for which calcium tablet alone may not work. In this bones become so weak that they may break without trauma. The osteoporosis may be confirmed by Bone mineral density (BMD) by dexa scan.
For Osteoporosis there are few options like-1. Calcitonin nasal spray (Rock bone C nasal spray).
2. Once a year injection of zoledronic acid, once a month tablet of alendronate, once a week tablet of osteophos.
3. Injection Teriparatide
You may discuss with your treating doctor and decide what is best for you. Once the pain is reduced you may start exercises to strengthen the back that is back strengthening exercises.
Take balanced diet rich in calcium (1000mg/day) and vitamin D (1000 i.u. /day) along with vitaminB12, B6.
Hope this information suffices.
Take care and I shall be glad to answer any further query.
Regards
Dr. Chugh (http://bit.ly/drmchugh)
Orthopaedic surgeon
Osteoporosis may be the cause
Detailed Answer:
Hi
Thanks for posting your query
After going through your suffering, how she suffered the compression fracture
following fall? Please share in the follow up query.
At her age severe weakness of bone (osteoporosis) is very common for which calcium tablet alone may not work. In this bones become so weak that they may break without trauma. The osteoporosis may be confirmed by Bone mineral density (BMD) by dexa scan.
For Osteoporosis there are few options like-1. Calcitonin nasal spray (Rock bone C nasal spray).
2. Once a year injection of zoledronic acid, once a month tablet of alendronate, once a week tablet of osteophos.
3. Injection Teriparatide
You may discuss with your treating doctor and decide what is best for you. Once the pain is reduced you may start exercises to strengthen the back that is back strengthening exercises.
Take balanced diet rich in calcium (1000mg/day) and vitamin D (1000 i.u. /day) along with vitaminB12, B6.
Hope this information suffices.
Take care and I shall be glad to answer any further query.
Regards
Dr. Chugh (http://bit.ly/drmchugh)
Orthopaedic surgeon
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Mukesh Chugh
Orthopaedic Surgeon, Joint Replacement
Practicing since :1997
Answered : 1619 Questions
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