Vertebral body fracture compressing anterior cortex, sparing middle/posterior columns
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DIFFERENTIAL DIAGNOSIS
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DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Chen Z et al: Risk factors of secondary vertebral compression fracture after percutaneous vertebroplasty or kyphoplasty: a retrospective study of 650 patients. Med Sci Monit. 25:9255-61, 2019
Cheng J et al: Percutaneous vertebroplasty vs balloon kyphoplasty in the treatment of newly onset osteoporotic vertebral compression fractures: a retrospective cohort study. Medicine (Baltimore). 98(10):e14793, 2019
Mattie R et al: Comparing percutaneous vertebroplasty and conservative therapy for treating osteoporotic compression fractures in the thoracic and lumbar spine: a systematic review and meta-analysis. J Bone Joint Surg Am. 98(12):1041-51, 2016
Kroon F et al: Two-year results of a randomized placebo-controlled trial of vertebroplasty for acute osteoporotic vertebral fractures. J Bone Miner Res. 29(6):1346-55, 2014
Rho YJ et al: Risk factors predicting the new symptomatic vertebral compression fractures after percutaneous vertebroplasty or kyphoplasty. Eur Spine J. 21(5):905-11, 2012
Esses SI et al: The treatment of symptomatic osteoporotic spinal compression fractures. J Am Acad Orthop Surg. 19(3):176-82, 2011
Klazen CA et al: Vertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures (Vertos II): an open-label randomised trial. Lancet. 376(9746):1085-92, 2010
Capeci CM et al: Bilateral low-energy simultaneous or sequential femoral fractures in patients on long-term alendronate therapy. J Bone Joint Surg Am. 91(11):2556-61, 2009
Kallmes DF et al: A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med. 361(6):569-79, 2009
Folman Y et al: Late outcome of nonoperative management of thoracolumbar vertebral wedge fractures. J Orthop Trauma. 17(3):190-2, 2003
Haba H et al: Diagnostic accuracy of magnetic resonance imaging for detecting posterior ligamentous complex injury associated with thoracic and lumbar fractures. J Neurosurg. 99(1 Suppl):20-6, 2003
Hiwatashi A et al: Increase in vertebral body height after vertebroplasty. AJNR Am J Neuroradiol. 24(2):185-9, 2003
Hsu JM et al: Thoracolumbar fracture in blunt trauma patients: guidelines for diagnosis and imaging. Injury. 34(6):426-33, 2003
Naves M et al: The effect of vertebral fracture as a risk factor for osteoporotic fracture and mortality in a Spanish population. Osteoporos Int. 14(6):520-4, 2003
Sapkas GS et al: Thoracic spinal injuries: operative treatments and neurologic outcomes. Am J Orthop. 32(2):85-8, 2003
Sheridan R et al: Reformatted visceral protocol helical computed tomographic scanning allows conventional radiographs of the thoracic and lumbar spine to be eliminated in the evaluation of blunt trauma patients. J Trauma. 55(4):665-9, 2003
Wintermark M et al: Thoracolumbar spine fractures in patients who have sustained severe trauma: depiction with multi-detector row CT. Radiology. 227(3):681-9, 2003
Baur A et al: Acute osteoporotic and neoplastic vertebral compression fractures: fluid sign at MR imaging. Radiology. 225(3):730-5, 2002
Lane JM et al: Minimally invasive options for the treatment of osteoporotic vertebral compression fractures. Orthop Clin North Am. 33(2):431-8, viii, 2002
O'Connor PA et al: Spinal cord injury following osteoporotic vertebral fracture: case report. Spine. 27(18):E413-5, 2002
Parisini P et al: Treatment of spinal fractures in children and adolescents: long-term results in 44 patients. Spine. 27(18):1989-94, 2002
Robertson A et al: Spinal injury patterns resulting from car and motorcycle accidents. Spine. 27(24):2825-30, 2002
Zhou XJ et al: Characterization of benign and metastatic vertebral compression fractures with quantitative diffusion MR imaging. AJNR Am J Neuroradiol. 23(1):165-70, 2002
Holmes JF et al: Epidemiology of thoracolumbar spine injury in blunt trauma. Acad Emerg Med. 8(9):866-72, 2001
Lindsay R et al: Risk of new vertebral fracture in the year following a fracture. JAMA. 285(3):320-3, 2001
Vaccaro AR et al: Post-traumatic spinal deformity. Spine. 26(24 Suppl):S111-8, 2001
Kerttula LI et al: Post-traumatic findings of the spine after earlier vertebral fracture in young patients: clinical and MRI study. Spine. 25(9):1104-8, 2000
van Beek EJ et al: Upper thoracic spinal fractures in trauma patients - a diagnostic pitfall. Injury. 31(4):219-23, 2000
Rechtine GR 2nd et al: Treatment of thoracolumbar trauma: comparison of complications of operative versus nonoperative treatment. J Spinal Disord. 12(5):406-9, 1999
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TERMINOLOGY
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Wedge compression
Definitions
Vertebral body fracture compressing anterior cortex, sparing middle/posterior columns
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Chen Z et al: Risk factors of secondary vertebral compression fracture after percutaneous vertebroplasty or kyphoplasty: a retrospective study of 650 patients. Med Sci Monit. 25:9255-61, 2019
Cheng J et al: Percutaneous vertebroplasty vs balloon kyphoplasty in the treatment of newly onset osteoporotic vertebral compression fractures: a retrospective cohort study. Medicine (Baltimore). 98(10):e14793, 2019
Mattie R et al: Comparing percutaneous vertebroplasty and conservative therapy for treating osteoporotic compression fractures in the thoracic and lumbar spine: a systematic review and meta-analysis. J Bone Joint Surg Am. 98(12):1041-51, 2016
Kroon F et al: Two-year results of a randomized placebo-controlled trial of vertebroplasty for acute osteoporotic vertebral fractures. J Bone Miner Res. 29(6):1346-55, 2014
Rho YJ et al: Risk factors predicting the new symptomatic vertebral compression fractures after percutaneous vertebroplasty or kyphoplasty. Eur Spine J. 21(5):905-11, 2012
Esses SI et al: The treatment of symptomatic osteoporotic spinal compression fractures. J Am Acad Orthop Surg. 19(3):176-82, 2011
Klazen CA et al: Vertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures (Vertos II): an open-label randomised trial. Lancet. 376(9746):1085-92, 2010
Capeci CM et al: Bilateral low-energy simultaneous or sequential femoral fractures in patients on long-term alendronate therapy. J Bone Joint Surg Am. 91(11):2556-61, 2009
Kallmes DF et al: A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med. 361(6):569-79, 2009
Folman Y et al: Late outcome of nonoperative management of thoracolumbar vertebral wedge fractures. J Orthop Trauma. 17(3):190-2, 2003
Haba H et al: Diagnostic accuracy of magnetic resonance imaging for detecting posterior ligamentous complex injury associated with thoracic and lumbar fractures. J Neurosurg. 99(1 Suppl):20-6, 2003
Hiwatashi A et al: Increase in vertebral body height after vertebroplasty. AJNR Am J Neuroradiol. 24(2):185-9, 2003
Hsu JM et al: Thoracolumbar fracture in blunt trauma patients: guidelines for diagnosis and imaging. Injury. 34(6):426-33, 2003
Naves M et al: The effect of vertebral fracture as a risk factor for osteoporotic fracture and mortality in a Spanish population. Osteoporos Int. 14(6):520-4, 2003
Sapkas GS et al: Thoracic spinal injuries: operative treatments and neurologic outcomes. Am J Orthop. 32(2):85-8, 2003
Sheridan R et al: Reformatted visceral protocol helical computed tomographic scanning allows conventional radiographs of the thoracic and lumbar spine to be eliminated in the evaluation of blunt trauma patients. J Trauma. 55(4):665-9, 2003
Wintermark M et al: Thoracolumbar spine fractures in patients who have sustained severe trauma: depiction with multi-detector row CT. Radiology. 227(3):681-9, 2003
Baur A et al: Acute osteoporotic and neoplastic vertebral compression fractures: fluid sign at MR imaging. Radiology. 225(3):730-5, 2002
Lane JM et al: Minimally invasive options for the treatment of osteoporotic vertebral compression fractures. Orthop Clin North Am. 33(2):431-8, viii, 2002
O'Connor PA et al: Spinal cord injury following osteoporotic vertebral fracture: case report. Spine. 27(18):E413-5, 2002
Parisini P et al: Treatment of spinal fractures in children and adolescents: long-term results in 44 patients. Spine. 27(18):1989-94, 2002
Robertson A et al: Spinal injury patterns resulting from car and motorcycle accidents. Spine. 27(24):2825-30, 2002
Zhou XJ et al: Characterization of benign and metastatic vertebral compression fractures with quantitative diffusion MR imaging. AJNR Am J Neuroradiol. 23(1):165-70, 2002
Holmes JF et al: Epidemiology of thoracolumbar spine injury in blunt trauma. Acad Emerg Med. 8(9):866-72, 2001
Lindsay R et al: Risk of new vertebral fracture in the year following a fracture. JAMA. 285(3):320-3, 2001
Vaccaro AR et al: Post-traumatic spinal deformity. Spine. 26(24 Suppl):S111-8, 2001
Kerttula LI et al: Post-traumatic findings of the spine after earlier vertebral fracture in young patients: clinical and MRI study. Spine. 25(9):1104-8, 2000
van Beek EJ et al: Upper thoracic spinal fractures in trauma patients - a diagnostic pitfall. Injury. 31(4):219-23, 2000
Rechtine GR 2nd et al: Treatment of thoracolumbar trauma: comparison of complications of operative versus nonoperative treatment. J Spinal Disord. 12(5):406-9, 1999
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