CONDITIONS

Vertebral Compression Fracture

A collapsed vertebra can cause sudden, severe back pain. Most are caused by osteoporosis, and many can be treated with a same-day procedure.

Also Called: Osteoporotic fracture, wedge fracture, spinal compression fracture, collapsed vertebra.

What It Is

A compression fracture happens when a vertebra collapses, usually into a wedge shape with the front shorter than the back. Most are caused by osteoporosis. Osteoporosis thins the bone enough that everyday forces can break it — a cough, a sneeze, or bending to pick something up.

Causes & Risk Factors

Osteoporosis is by far the most common cause, and the risk climbs with age, after menopause, and with long-term steroid use. Less often, a compression fracture follows a harder impact, like a fall or car accident, in someone whose bones are otherwise healthy. It can also come from a bone weakened by illness instead of osteoporosis. For that reason, a new compression fracture is always worth a closer look.

Symptoms

  • Sudden onset of sharp, localized back pain
  • Pain that worsens with standing, walking, or changing position
  • Some patients also notice a gradual forward lean or a loss of height over time

There's no single right treatment for Vertebral Compression Fracture. The best plan depends on your imaging, your history, and your exam. The next step is a conversation about your specific case.

Dr. Hirsch is board-certified and Yale-trained. Read his full background.