Abstract
In general, a fracture is clinically diagnosed by localizing the pain; however, this simple clinical feature is not reliable in the case of osteoporotic fractures of the spine, where up to 20% are incidental radiological findings, without the patient consciously experiencing pain [Cooper 1992]. Delayed diagnosis is a further problem. Osteoporotic fractures generally occur spontaneously without a traumatic incident and also partly respond well to analgesics, therefore the radiological diagnosis, if the fracture is diagnosed at all, is often delayed. In addition, many patients never go to a doctor but are treated by physiotherapists or masseurs [Ross 1991]. In contrast, patients with advanced collapse of a vertebral body and a resulting deformity have a higher level of pain and thus are diagnosed sooner and treated earlier than patients with simpler fractures [Watts 1991].
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Becker, S., Ogon, M. (2008). Clinical aspects and mortality risk of the osteoporotic spine fracture. In: Becker, S., Ogon, M. (eds) Balloon Kyphoplasty. Springer, Vienna. https://doi.org/10.1007/978-3-211-74221-1_3
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DOI: https://doi.org/10.1007/978-3-211-74221-1_3
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