Abstract

Background: Vertebral fractures are the earliest and most common manifestation of osteoporotic-related fractures. We conducted this study to evaluate some clinical, and sub-clinical characteristics in patients with osteoporotic vertebral fracture. Materials and method: Forty-one patients with osteoporotic vertebral fracture, who underwent cementoplasty, were assessed VAS score for grading pain, T-score index, distribution of vertebrae affected, type and grade of fractures. Results: All patients had severe osteoporosis with a median total lumbar spine T-score before cementoplasty of -2.9. The median of bone mineral density at the lumbar spine was 0.78 g/cm2 and at the femoral neck was 0.64 g/cm2. Women had a 2-fold higher prevalence than men, 63.4% of patients reported having very severe pain. The 12th thoracic, 1st lumbar, and 2nd lumbar vertebra accounted for over 60% of total vertebral fractures, and 58.8% of patients had more than one fracture of vertebra. The most degree of the fractures (65.1%) were from moderate to severe. More than half fractures were wedge, followed by biconcavity and compression. Conclusion: Patients with osteoporotic vertebral fractures had outstanding characteristics like the commonly affected T12, L1, and L2 vertebrae, the majority of fractures were wedge-shaped and possibly multiple fractures.