© 2020

Vertebral Compression Fractures in Osteoporotic and Pathologic Bone

A Clinical Guide to Diagnosis and Management

  • Afshin E. Razi
  • Stuart H. Hershman
  • Provides a concise review of the evaluation, diagnosis and management of vertebral compression fractures (VCFs)

  • Discusses the epidemiology of VCFs as well as the physical morbidity and economic impact of these common osteoporotic injuries

  • Presents evidence-based, best practice management as well as the cost-effectiveness of non-surgical and surgical management of VCFs for informed decision-making


Table of contents

  1. Front Matter
    Pages i-xi
  2. Henock T. Wolde-Semait, Daniel Komlos
    Pages 1-8
  3. Nicole M. Stevens, Sanjit R. Konda
    Pages 9-20
  4. Harold A. Fogel, Louis G. Jenis
    Pages 21-29
  5. Peter J. Ostergaard, Thomas D. Cha
    Pages 49-55
  6. Ahmed Saleh, Michael Collins
    Pages 57-62
  7. Daniel G. Tobert, Joseph H. Schwab
    Pages 63-68
  8. R. Aaron Marshall, Mohammad Samim
    Pages 75-94
  9. A. Orlando Ortiz
    Pages 115-135
  10. Robert P. Norton
    Pages 137-143
  11. Theodosios Stamatopoulos, Ganesh M. Shankar, John H. Shin
    Pages 153-182
  12. Peter G. Passias, Rivka C. Ihejirika-Lomedico, Hesham Saleh, Max Egers, Avery E. Brown, Haddy Alas et al.
    Pages 183-189
  13. Joseph M. Zavatsky, Robert A. McGuire Jr
    Pages 191-203
  14. Nicholas Shepard, Nirmal C. Tejwani
    Pages 205-220

About this book


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.


Cement augmentation Kyphoplasty Multilevel VCF Osteoporosis Osteoporotic bone Pathologic bone Sacral insufficiency fracture Spinal deformity Spinal fusion Vertebral augmentation Vertebral compression fracture (VCF) Vertebroplasty

Editors and affiliations

  • Afshin E. Razi
    • 1
  • Stuart H. Hershman
    • 2
  1. 1.Vice Chair and Residency Program Director, Department of Orthopaedic Surgery, Maimonides Medical CenterBrooklynUSA
  2. 2.Department of Orthopaedic SurgeryMassachusetts General Hospital, Harvard Medical SchoolBostonUSA

About the editors

Afshin E. Razi, MD, Vice Chairman, Director, Orthopedic Residency Program, Department of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA

Stuart Hershman, MD , Spine Surgery and Complex Spinal Reconstruction, Massachusetts General Hospital - Harvard Medical School, Department of Orthopedic Surgery, Boston, MA, USA

Bibliographic information

  • Book Title Vertebral Compression Fractures in Osteoporotic and Pathologic Bone
  • Book Subtitle A Clinical Guide to Diagnosis and Management
  • Editors Afshin E. Razi
    Stuart H. Hershman
  • DOI
  • Copyright Information Springer Nature Switzerland AG 2020
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-030-33860-2
  • Softcover ISBN 978-3-030-33863-3
  • eBook ISBN 978-3-030-33861-9
  • Edition Number 1
  • Number of Pages XI, 233
  • Number of Illustrations 39 b/w illustrations, 29 illustrations in colour
  • Topics Orthopedics
Industry Sectors
Health & Hospitals


“It is very useful for teaching medical students/residents as well as medical extenders like nurse practitioners and physician assistants. … This book is well written and covers an important and common condition. It will be useful in helping practitioners reach clinical decisions, as well as explain the condition to patients and colleagues. It is an essential read for people who treat pathologic compression fractures in their practice.” (Ashish Upadhyay, Doody's Book Reviews, May 29, 2020)