
What is a Compression Fracture?
Roughly 10 million Americans have osteoporosis and an additional 34 million have low bone mass. Both of these conditions increase your chances of developing a compression fracture by a considerable amount. However, this condition does not affect the genders equally, with 8 of the 10 million osteoporosis patients being women. Vertebral compression fractures (VCF) are extremely common in patients with osteoporosis, affecting around 750,000 people every year. In postmenopausal women, VCFs affect about one-fourth of this group. The incidence and prevalence of VCFs naturally increase as patients age. In fact, a staggering 40% of women age 80 and older will suffer compression fractures. While the condition may be far more common in women, it nevertheless constitutes a major health issue for older men as well. A VCF describes a type of fracture or breaks in the vertebrae. Vertebrae are the bones in your back that stack up, one on top of the other, to make up the spine. Your spine has a large number of functions: it supports your weight, allows you to move, and protects vital components of your nervous system. Compression fractures cause the vertebrae of the spine to collapse, which in turn makes them shorter. When these collapses occur, pieces of bone may press on the spinal cord and nerves, decreasing the amount of oxygen and blood flow that the spinal cord would normally get. In most cases, these fractures heal with medications, bracing, and rest. With time, most people are able to return to their everyday activities. Some cases, however, are more serious and may require surgical treatment. Causes of Vertebral Compression Fractures (VCFs) At the heart of the problem always lies softer, weakened bones. Generally speaking, compression fractures usually occur because of the bone-thinning condition known as osteoporosis. This is especially true for women over the age of 50 who have been through menopause. When your bones are more brittle than they should be, your vertebrae, in turn, are not strong enough to support your spine throughout the activities that you perform every single day. This includes simple actions, such as lifting objects, missing steps, slipping on the carpet—all of these things increase your risk of a VCF. Even the most minor coughing or sneezing spells may result in compression fractures if you have osteoporosis. After your body has undergone numerous small VCFs, you will begin to show all manner of symptoms. Your spine becomes shorter due to the loss of height in the vertebrae, and the strength and shape of your spine become subject to change. Most of these fractures occur in the frontal region of the vertebrae. If this happens often enough, then the affected vertebrae will eventually collapse. The front of the vertebrae is often more affected than the back because it is made up of harder bone, making it more difficult to crack. Because of this, VCFs create wedge-shaped vertebrae, which leads to a stooped posture that many people refer to as dowager’s hump. Your doctor or other medical professionals may