Vertebral fracture management

Osteoporosis-related acute vertebral fragility fracture is a debilitating condition that can cause significant morbidity in elderly patients. Appropriate treatment requires a multimodal approach by spine care providers. Initial management should be directed at achieving adequate pain control to facilitate early mobilization. In patients refractory to nonoperative treatment, vertebral augmentation may be utilized. Back extensor exercises, postural training, and active orthoses can help not only with symptom control but also reduce the progression of kyphosis. Appropriate treatment of osteoporosis should be initiated as soon as possible to minimize the risk of future fracture.