Treatment / Fractures / Vertebral Compression Fracture

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FRACTURES | LAS VEGAS

Vertebral Compression Fracture

Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas, Nevada

Understanding Vertebral Anatomy

Vertebral compression fractures occur when the vertebral body collapses under compressive load. In patients with osteoporosis, this can occur with minimal trauma such as bending, coughing, or even normal daily activity. The vertebral body collapses anteriorly, creating a wedge deformity that can cause significant pain and progressive kyphosis.


Dr. Andrew Lee at Nevada Spine Clinic and Southern Hills Hospital in Las Vegas evaluates each fracture individually to determine the most appropriate fixation strategy based on fracture pattern, bone quality, and patient goals.

Fracture Types and Patterns

  • Osteoporotic Compression Fracture: The most common type, occurring in patients with decreased bone density. The fracture causes acute pain that limits mobility.
  • Traumatic Compression Fracture: Higher-energy fractures in younger patients or in the setting of normal bone density require different evaluation and treatment.
  • Pathologic Fracture: Vertebral fractures occurring through abnormal bone from tumors or other disease require oncologic evaluation before treatment.

When Surgery Is Required

Most vertebral compression fractures from osteoporosis are initially treated with pain management, bracing, and activity modification. Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas recommends minimally invasive cement augmentation for patients with painful fractures that do not improve adequately with conservative management over four to six weeks.

Vertebral Compression Fracture

Vertebral compression fractures causing persistent pain despite conservative management are treated with kyphoplasty or vertebroplasty. Dr. Andrew Lee performs these minimally invasive procedures at Southern Hills Hospital in Las Vegas through a small incision under imaging guidance. A small tube is placed into the fractured vertebra and medical-grade bone cement is injected to stabilize the fracture. Kyphoplasty uses a balloon to restore vertebral height before cement injection.

The primary goals of this procedure are to:
  • Stabilize the fractured vertebra and eliminate fracture pain
  • Restore vertebral height when possible
  • Allow return to normal daily activity
  • Prevent progressive kyphosis

Potential Risks

  • Infection: Fracture fixation carries infection risk. Preventive antibiotics are given and proper wound care is essential during recovery.
  • Nonunion: The fracture may fail to heal requiring additional surgical intervention.
  • Malunion: The fracture may heal in a non-anatomic position affecting function.
  • Hardware complications: Implant loosening or breakage may require revision.
  • Post-traumatic arthritis: Joint fractures can lead to accelerated arthritis despite optimal treatment.
  • Nerve or vascular injury: Risk varies by fracture location and surgical approach.

Postoperative Recovery

Recovery depends on fracture severity, fixation achieved, and patient factors. Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas provides individualized rehabilitation guidance to optimize bone healing and functional recovery.

Weight bearing restrictions and activity timelines are determined at follow-up appointments based on fracture healing progress on imaging.

What to Expect After Surgery

Pain decreases progressively as healing occurs over six to twelve weeks. Functional recovery continues for three to six months following surgery. Dr. Lee monitors healing with imaging at regular follow-up visits.

Most patients return to independent daily activity within six to twelve weeks, with full recovery over three to six months depending on fracture complexity and patient factors.

Do not soak your wound.

No bathtub, swimming, or hot tub until cleared by Dr. Lee.

Wound Care and Medication Management

Follow all wound care instructions at discharge. Avoid soaking the incision in water until cleared by Dr. Lee. Pat the wound dry after showering and apply a clean bandage.

Monitor the incision for increasing redness, warmth, swelling, or drainage and contact Nevada Spine Clinic immediately if any of these occur. Prescription refills require forty-eight hours advance notice.

Activity Guidelines After Surgery

Follow the specific weight bearing restrictions provided by Dr. Lee. These are individualized to your fracture pattern and the fixation achieved at surgery. Do not bear weight beyond prescribed limits until cleared at follow-up.

Contact Nevada Spine Clinic or go to the nearest emergency room for fever, sudden increase in pain, inability to bear weight as previously tolerated, or wound concerns.

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No bathtub, swimming, or hot tub until cleared by Dr. Lee.

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Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas

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