Osteoporotic Fracture and Management

  • Nages Nagaratnam
  • Kujan Nagaratnam
  • Gary Cheuk
Reference work entry


The chapter provides an overview of osteoporotic fractures occurring in the hip and vertebrae, the prevalence and clinical manifestations with the main focus on their effects. Osteoporotic fractures most commonly involve the vertebrae, the proximal femur and the wrists, and vertebrals are two to three times as common as hip fractures. The past few decades have seen an increasing number of hip fractures worldwide, and this trend will continue with the increase in the elderly population. The femoral neck has little cancellous bone, and the blood supply is poor and often results in complications. The intertrochanteric region consists largely of cancellous bone with good blood supply with different treatment, complications and mortality. Majority of the patients with vertebral fractures are treated conservatively. Kyphoplasty has also been shown to reduce pain and restore vertebral body height. Sacral insufficiency fractures are often mistaken both clinically and radiologically with metastatic disease.


Osteoporotic fractures Hip fractures Vertebral fractures Sacral insufficiency fractures Kyphoplasty Vertebroplasty 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Nages Nagaratnam
    • 1
  • Kujan Nagaratnam
    • 1
  • Gary Cheuk
    • 2
  1. 1.The University of SydneyWestmead Clinical SchoolWestmeadAustralia
  2. 2.Rehabilitation and Aged Care ServiceBlacktown-Mt Druitt HospitalMount DruittAustralia

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