Compression fractures occur when the vertebral bone in the spine become broken. There are a number of causes of compression fractures. The most common are:
- Traumatic injury such as a fall or car accident
- Spinal tumors
A pathological fracture is a bone fracture from disease that has weakened the bone rather than a traumatic incident. The most common forms of pathological fractures are:
- Inherited bone disorders
- Bone cysts
Chronic back pain is defined as pain that lasts for twelve (12) weeks or longer despite having treated the initial cause of the pain or injury. There are two types of chronic back pain:
Pain with identifiable cause
Some back pain begins after a specific event, such as an accident or injury. Other spine conditions such as degenerative disc disease and spinal stenosis are conditions that will cause ongoing pain until the condition is treated, and are typically caused by a diagnosable, physical condition.
Pain with no identifiable cause
Even if the pain began due to accident, injury or another anatomical condition, if the pain continues for a prolonged period of time after the cause has been resolved, the pain is considered “chronic benign pain.
KyphoplastyKyphoplasty is a minimally-invasive procedure for treating painful vertebral fractures. A special balloon is inserted into the spinal body of the fractured vertebra(e) and gently inflated. The goal of this step is to create a cavity for the cement and restore height to the bone thus reducing deformity of the spine. Then, a medical cement-like material is injected directly into the fractured bone. This stabilizes the fracture and provides immediate pain relief in most cases.
Kyphoplasty is a safe, well-tolerated outpatient procedure performed at CiC Salt Lake under local anesthesia with IV sedation.
Many patients get relief immediately. CiC physicians have successfully treated hundreds of spine fractures without surgery.
VertebroplastyVertebroplasty is a non-surgical treatment, performed by Interventional Radiologists that uses imaging guidance to stabilize collapsed vertebra by injecting medical-grade bone cement into the fracture.
Vertebroplasty can improve pain almost immediately by preventing further collapse of the vertebra, providing long-term pain relief with a low complication rate.
If a weak or fractured vertebra isn’t supported, the fracture can worsen causing the vertebra to compress into a flattened wedge shape. If not treated early, the vertebra begins to “heal” in this position, making it difficult or impossible to treat.
Epidural steroid injections (ESI)
INTERLAMINAR: The needle goes between the vertebral bones—called lamina—to access the epidural space.
CAUDAL: The needle goes into a small space in the sacrum (lowest part of spine, below the lumbar vertebrae), and enough cortisone is injected into space to seep into the epidural areas around the lumbar spine (low back), relieving pain for multiple nerve pinches at the same time.
TRANSFORAMINAL: The spinal pain is accessed from the side of the vertebra and steroids are injected into the area closest to the spinal pain.