Differential Diagnosis: Back pain and Osteoporosis
Vertebral fracture due to underlying osteoporosis is an important cause of back pain. Other reasons for fracture should always be excluded.
Vertebral osteoporosis presents clinically in only about 30% of affected people and is more often an incidental finding, despite being associated with disability. The impact increases with increasing number of vertebral fractures and severity of spinal deformity. Vertebral osteoporosis is associated with increased risk of further fracture and excess mortality. Comorbidity worsens the outcome.
Management involves trying to achieve pain control, restoring activities through rehabilitation, and interventions to reduce risk of further fracture.
KeywordsBack Pain Vertebral Fracture Bone Scintigraphy Vertebral Deformity Chronic Back Pain
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