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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Vertebrae Collapse

Hi, my father is 85 years old and has had a partial collapse of D12 vertebrae. This is causing a lot of back pain and he is not able to get up from bed. This happened in last one week and prior to this he could walk with support. Any remedy suggested please?
Fri, 20 Jun 2014
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Orthopaedic Surgeon,  's  Response
Hi,
If the collapse is less than 40 % ,with no neurological involvement then conservative treatment with complete rest ( with change of positon every 2 hourly / air bed) is the treatment.But if the collapse is more than 40% and if there is neurological involvement and if If your father is medically fit with no other co-morbidities ( cardiac, diabetes,hypertension) i would suggest surgical stabilization with pedicle screws ( since this can allow early mobilization and bed ridden complications can be avoided )
One more newer modality of treatment in this age group which deserves a mention here is a minimally invasive procedure called VERTEBROPLASTY which reduces pain significantly.
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Suggest Treatment For Vertebrae Collapse

Hi, If the collapse is less than 40 % ,with no neurological involvement then conservative treatment with complete rest ( with change of positon every 2 hourly / air bed) is the treatment.But if the collapse is more than 40% and if there is neurological involvement and if If your father is medically fit with no other co-morbidities ( cardiac, diabetes,hypertension) i would suggest surgical stabilization with pedicle screws ( since this can allow early mobilization and bed ridden complications can be avoided ) One more newer modality of treatment in this age group which deserves a mention here is a minimally invasive procedure called VERTEBROPLASTY which reduces pain significantly.