spinal compression fracture

脊椎圧迫骨折

関

vertebral compression fracture

WordNet

1. work natural fibers into a thread; "spin silk"
2. prolong or extend; "spin out a visit" (同)spin out
3. the act of rotating rapidly; "he gave the crank a spin"; "it broke off after much twisting" (同)twirl, twist, twisting, whirl
4. a distinctive interpretation (especially as used by politicians to sway public opinion); "the campaign put a favorable spin on the story"
5. a short drive in a car; "he took the new car for a spin"
6. a swift whirling motion (usually of a missile)
7. revolve quickly and repeatedly around ones own axis; "The dervishes whirl around and around without getting dizzy" (同)spin around, whirl, reel, gyrate
8. form a web by making a thread; "spiders spin a fine web"
9. make up a story; "spin a yarn"
10. stream in jets, of liquids; "The creek spun its course through the woods"
11. twist and turn so as to give an intended interpretation; "The Presidents spokesmen had to spin the story to make it less embarrassing"
12. interrupt, break, or destroy; "fracture the balance of power"
13. breaking of hard tissue such as bone; "it was a nasty fracture"; "the break seems to have been caused by a fall" (同)break
14. fracture a bone of; "I broke my foot while playing hockey" (同)break
15. become fractured; "The tibia fractured from the blow of the iron pipe"
16. break (a bone); "She broke her clavicle"
17. break into pieces; "The pothole fractured a bolt on the axle"
18. violate or abuse; "This writer really fractures the language"
19. the act of cracking something (同)crack, cracking
20. applying pressure (同)compressing
21. encoding information while reducing the bandwidth or bits required
22. the process or result of becoming smaller or pressed together; "the contraction of a gas on cooling" (同)condensation, contraction
23. of or relating to the spine or spinal cord; "spinal cord"; "spinal injury"

PrepTutorEJDIC

1. (羊毛などから)〈糸など〉‘を'『紡ぐ』《+『名』+『out of』+『名』〈羊毛〉》,(糸などに)〈羊毛など〉‘を'紡ぐ《+『名』〈羊毛〉+『into』+『名』》 / 〈クモ・カイコなどが〉〈糸〉‘を'『吐く』;〈巣・繭〉‘を'かける / …‘を'くるくる回す / 〈物語など〉‘を'作る,話す / 『糸を紡ぐ』;〈クモ・カイコなどが〉糸を吐く / 〈こまなどが〉くるくる回る / 〈車などが〉疾走する / 〈頭などが〉くらくらする / 〈C〉〈U〉くるくる回すこと;回転 / 〈C〉《単数形で》(車などの)一走り / 〈C〉(飛行機の)きりもみ降下 / 〈C〉《単数形で》(価値などの)急落
2. 〈U〉(特に)骨を折ること;骨を折った状熊 / 〈C〉割れ(裂け)目,(鉱物の)破砕面 / 〈足・腕などを〉‘を'骨折する;…‘を'砕く / 骨折する;砕ける
3. 圧搾,圧傷;要約
4. 背骨の / せき髄麻酔

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/02/05 21:46:15」(JST)

wiki en

[Wiki en表示]

Compression fracture
Classification and external resources
ICD-9-CM	733.13 (pathological), 805-806 (traumatic)

A compression fracture is a collapse of a vertebra. It may be due to trauma or due to a weakening of the vertebra (compare with burst fracture). This weakening is seen in patients with osteoporosis or osteogenesis imperfecta, lytic lesions from metastatic or primary tumors, or infection. In healthy patients it is most often seen in individuals suffering extreme vertical shocks, such as ejecting from an ejection seat. Seen in lateral views in plain x-ray films, compression fractures of the spine characteristically appear as wedge deformities, with greater loss of height anteriorly than posteriorly and intact pedicles in the anteroposterior view.

Signs and symptoms

Acute fractures will cause severe back pain. Compression fractures which develop gradually, such as in osteoporosis, may initially not cause any symptoms, but will later often lead to back pain and loss of height.

Diagnosis

Compression fractures are usually diagnosed on spinal radiographs, where a wedge-shaped vertebra may be visible or there may be loss of height of the vertebra. In addition, bone density measurement may be performed to evaluate for osteoporosis. When a tumor is suspected as the underlying cause, or the fracture was caused by severe trauma, CT or MRI scans may be performed.

• Compression fracture of the fourth lumbar vertebra post falling from a height.

• X-ray of the lumbar spine with a compression fracture of the third lumbar vertebra.

Treatment

Conservative treatment

• Back brace for support while the bone heals-either a Jewett brace for relatively stable and mild injuries, or a TLSO for more severe ones.
• Opioids or Non-steroidal anti-inflammatory drugs for pain. For osteoporotic patients, calcitonin may be helpful.

Surgical

• Kyphoplasty and vertebroplasty, are minimally invasive procedures that inject cement into the bone of the back that is fractured. However, the data examining the effectiveness of these procedures is mixed.

References

External links

• Vertebral Compression Fracture information on eMedicineHealth
• Zeller, J. L.; Burke, A. E.; Glass, R. M. (2008). "Osteomyelitis". JAMA 299 (7): 858. doi:10.1001/jama.299.7.858. PMID 18285597. 
• Medscape article on lytic lesions
• Emedicine article on spinal metastasis

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 骨粗鬆症による胸腰椎圧迫骨折：臨床症状および医療 osteoporotic thoracolumbar vertebral compression fractures clinical manifestations and treatment
• 2. 成人における脊髄損傷：定義、機序、および放射線学的所見 spinal column injuries in adults definitions mechanisms and radiographs
• 3. 小児期や思春期のアスリートにおける頸部の筋骨格損傷の概要 overview of musculoskeletal neck injuries in the child or adolescent athlete
• 4. 成人における腰痛の評価 evaluation of low back pain in adults
• 5. ニ重エネルギーX線吸収測定の概要 overview of dual energy x ray absorptiometry

English Journal

• Novel bone-targeting agents in prostate cancer.

• Albany C, Hahn NM.
• Prostate cancer and prostatic diseases.Prostate Cancer Prostatic Dis.2014 Jun;17(2):112-8. doi: 10.1038/pcan.2014.12. Epub 2014 Mar 25.
• Prostate cancer (PC) is the most commonly diagnosed non-skin cancer and the second leading cause of cancer death among American men. Bone is by far the most common site for metastasis. The median survival of patients from the development of bone metastases is ∼3 years. During this period, patients
• PMID 24662963

• Bisphosphonates in breast cancer.

• Mathew A1, Brufsky A.
• International journal of cancer. Journal international du cancer.Int J Cancer.2014 May 13. doi: 10.1002/ijc.28965. [Epub ahead of print]
• Bisphosphonates are osteoclast inhibitors, currently being used in oncology to prevent or delay bone morbidity in cancer. Oral and intravenous formulations of bisphosphonates have been found to be efficacious in preventing skeletal-related events such as bone pain, pathologic fractures, spinal cord
• PMID 24824552

• A rare presentation of subacute progressive ascending myelopathy secondary to cement leakage in percutaneous vertebroplasty.

• Bhide RP1, Barman A, Varghese SM, Chatterjee A, Mammen S, George J, Thomas R.
• American journal of physical medicine & rehabilitation / Association of Academic Physiatrists.Am J Phys Med Rehabil.2014 May;93(5):431-6. doi: 10.1097/PHM.0000000000000028.
• Percutaneous vertebroplasty is used to manage osteoporotic vertebral body compression fractures. Although it is relatively safe, complications after vertebroplasty ranging from minor to devastatingly major ones have been described. Cement leakage into the spinal canal is one such complication. Subac
• PMID 24322431

Japanese Journal

• Recovery of Motor Function in Patients with Subaxial Cervical Spine Injury Relevant to the Fracture Pattern

• Shiozaki Yasuyuki,Ito Yasuo,Sugimoto Yoshihisa,Tomioka Masao,Shimokawa Tetsuya,Mazaki Tetsuro,Koshimune Koichiro,Tanaka Masato,Ozaki Toshifumi
• Acta Medica Okayama 66(6), 469-473, 2012-12-00
• … In this study, we studied the relationship between fracture patterns and motor function recovery in 70 consecutive patients with cervical spinal cord injury. … Fractures were categorized into 6 fracture types and subdivided into stages according to the Allen-Ferguson classification system:compressive flexion (CF), distractive flexion (DF), compressive extension (CE), distractive extension (DE), vertical compression (VC) and lateral flexion (LF). …
• NAID 120005082622

• Delayed Neurological Deficits Induced by an Epidural Hematoma Associated With a Thoracic Osteoporotic Compression Fracture

• KANG Min-Soo,SHIN Yong-Hwan,LEE Choon-Dae,LEE Sang-Ho
• Neurologia medico-chirurgica = 神経外科 52(9), 633-636, 2012-09-15
• … A 79-year-old woman developed neurological deficits 6 weeks after the onset of a thoracic osteoporotic compression fracture. … Spinal epidural hematomas are rare and associated delayed neurological deficits are extremely rare. …
• NAID 10030872946

• 症例報告 椎体腹側と脊柱管内に腫を合併した骨粗鬆症性圧迫骨折の1例

• 岩森 秀樹,内川 千恵
• 臨床整形外科 47(8), 809-813, 2012-08-00
• NAID 40019405890

Related Links

• Spinal Compression Fractures Causes, Pain, Risks and More

If you're nearing age 60 and have back pain, don't assume it's a normal part of getting older. You could be affected by a spinal compression fracture. Back aches and pains can be a sign that small fractures are occurring in your ...

• Symptoms of Spinal Compression Fractures - WebMD - Better ...

Symptoms of a Spinal Compression Fracture In this article Different Signs of Spinal Compression Fracture Pain Signs of Multiple Spinal Compression Fractures Font Size A A A It is important to identify the symptoms of spinal ...

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★リンクテーブル★

リンク元	「脊椎圧迫骨折」「vertebral compression fracture」
関連記事	「spinal」「compression」「spin」「fracture」

「脊椎圧迫骨折」

　　[★]

英

vertebral compression fracture, spinal compression fracture

「vertebral compression fracture」

　　[★]

脊椎圧迫骨折

関

spinal compression fracture

「spinal」

　　[★]

• adj.

• 脊髄の、脊髄性の、脊柱の

関

dorsal spine、rachis、spinal column、spinal cord、spine、vertebral column

　 　

「compression」

　　[★]

• 圧迫、圧縮、加圧、圧迫症

関

compress、compressive、pressurization、pressurize、squeeze

　 　 　 　

「spin」

　　[★]

• スピン

　 　 　 　 　 　 　 　 　 　 　 　

「fracture」

　　[★]

• n.

• 骨折