Sir, What is the correct treatment for osteoporotic compression fracture of the spine (D12 thoracic vertebra) which takes place due to minor trauma like fall. Patient is aged 59 and is female. Should one go for surgery like balloon kyphoplasy or any other procedure or one should go for non-operative treatment like conservative care? Please suggest
Hi, thanks for providing a brief history of the patient. As to see here the D12 vertebrae compression fracture surgery is totally depending upon the symptoms. If the patient has loss of mobility of the lower limbs and have bladder uncontrolled then one should undergo for spinal decompression surgery.in case is the patient do not have any symptoms like pain, numbness, tingling sensation etc. patient may not need a surgery. Usually the vertebrae heals on its own. Since the patient is a female she may have low calcium levels and vitamin D levels. For which she can undergo a supplement for the same. If the patient has pain and aches for which one can discuss with their spine surgeon for undergoing physical therapist. As physical therapy is a non-invasive and patient involved therapy. Pain can be reduced by use of therapeutic ultrasound and TENS therapy. Later on the exercises may be recommended by the physical therapist. As to what he feels beneficial for the patient. I hope I have answered your both query. Please take a wise decision. With the grace of God I wish you a speedy recovery