What is the treatment of acute osteoporotic vertebral compression fractures?
Acute osteoporotic vertebral compression fractures cause significant back pain and require prompt, structured management. Evidence-based first-line options address this scenario with a combination of physical and pharmacological approaches.
This protocol applies to adults with acute osteoporotic vertebral compression fractures, where the central clinical challenge is controlling vertebral back pain.
Treatment Goal
Relief of vertebral back pain
First-line management involves bracing alongside select pharmacological options shown to reduce vertebral back pain — the full evidence-based selection, sequencing, and clinical criteria are available in the complete protocol.
References
- Bracing may be considered for adults for osteoporotic vertebral compression fractures.
- Calcitonin is suggested for relief of pain in adults with acute osteoporotic vertebral compression fractures.
- Teriparatide is suggested for the relief of pain and improvement in quality of life in adults with acute osteoporotic vertebral compression fractures.
- Bisphosphonates are suggested for relief of pain and improvement in quality of life in adults with acute osteoporotic vertebral compression fracture but are inferior to teriparatide.
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