Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of localized thoracic/lumbar back pain following minimal trauma or spontaneous occurrence. Pain is described as sharp, exacerbated by movement, weight-bearing, and spinal flexion. Patient reports significant functional limitation, height loss, and kyphotic deformity. No neurological deficits, bowel/bladder dysfunction, or constitutional symptoms reported.
Clinical Examination Findings
Physical examination reveals localized midline tenderness over the affected vertebral level. Paravertebral muscle spasm noted. Kyphotic deformity observed upon inspection. Neurological examination is intact: motor strength 5/5 in all extremities, sensation intact to light touch, and deep tendon reflexes are symmetric. No signs of myelopathy or radiculopathy.
Treatment Protocol
Conservative management initiated: activity modification, bracing (TLSO), and analgesia (NSAIDs/calcitonin). Referral for bone density (DEXA) scan and initiation of anti-osteoporotic therapy (bisphosphonates/teriparatide). Physical therapy for core strengthening and fall prevention. Surgical consultation for vertebroplasty or kyphoplasty if pain remains refractory to conservative measures.