Tools
The above calculator is for informational purposes only, it should not be considered medical advice.
Based on below study (80 patients aged 65 and older):
Ikemoto T, Hirasawa A, Kojima S, Arai YC, Deie M. Two key symptoms for detecting vertebral compression fracture among elderly people with acute low back pain. Spine Surg Relat Res. 2022;6(5):512-517.
Physical Exam Signs
Closed-fist percussion sign (87.5 sensitive, 90% specific)
The examiner stands behind the patient. The patient stands facing a mirror so that the examiner can gauge their reaction. The entire length of the spine is examined using firm, closed-fist percussion. The clinical sign is positive when the patient complains of a sharp, sudden, fracture pain.
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Supine Sign (81.3% sensitive, 93.3% specific)
The patient is asked to lie supine on the examination couch with only one pillow. The clinical sign is positive when a patient is unable to lie supine due to severe pain in their spine.
The physical exam signs are for informational purposes only, it should not be considered medical advice.
Based on below study (83 patients aged 72 and older):
Langdon J, Way A, Heaton S, Bernard J, Molloy S. Vertebral compression fractures--new clinical signs to aid diagnosis. Ann R Coll Surg Engl. 2010;92(2):163-166.
Information below was taken from the International Osteoporosis Foundation.
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Understanding Compression Fracture Warning Signs
The International Osteoporosis Foundation has identified key warning signs and statistics that highlight the serious nature of spinal compression fractures. Recognizing these signs early can be critical for preventing further complications and improving treatment outcomes.
Spot the Signs of a Breaking Spine
Key Statistics:
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Spine fractures are the most common type of fractures due to osteoporosis
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1 new spine fracture occurs every 22 seconds worldwide
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Up to 70% remain undiagnosed
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Warning Signs!
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Sudden back pain
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Height loss (more than 4 cm)
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Stooped back (kyphosis)
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Life-Altering Impact of Spine Fractures
Untreated spine fractures can lead to multiple serious consequences:
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Spinal deformity
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Severe back pain
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Height loss
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Loss of independence
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Immobility
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Depression
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Increased number of bed days
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Swallowing and breathing difficulties
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Critical Fact: 8-fold increase in mortality risk
The Importance of Timely Treatment
Timely diagnosis and treatment for osteoporosis is essential!
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Without Treatment:
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1 fracture leads to another
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20% of women with a recent spine fracture will suffer another within 12 months
With Treatment:
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Pharmacological treatment reduces risk of fractures within 6-12 months by 50-80%
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How Do I Know If I Have a Vertebral Compression Fracture?
Vertebral compression fractures often go undetected, mistaken for routine back pain or the effects of aging. But if your pain began suddenly, especially after a minor movement like bending or lifting, it could signal something more serious.
What’s the Difference Between a Compression Fracture and Other Types of Back Pain?
Unlike general muscle strain or arthritis, a compression fracture typically causes sharp, localized back pain that intensifies with standing or walking and eases when lying flat. You might also notice a sudden drop in height or a slight stoop in posture over time.
Many people with spinal fractures don’t realize it right away. In fact, these injuries can be silent at first, causing no immediate symptoms. But untreated, they can lead to progressive spinal deformity, chronic pain, and even impaired mobility.
Who Is at Risk?
These fractures are most common in older adults, particularly those with osteoporosis, a condition that weakens bones and makes them more prone to breakage. Women over 65, especially those who are postmenopausal or have a history of smoking or long-term steroid use, are at higher risk. But men aren’t immune; age, bone loss, or certain cancers can all contribute.
When Should You See a Specialist?
If your back pain is new, severe, and came on without a clear injury, or if simple tasks now cause unexpected discomfort, it’s worth talking to a spine specialist. Early detection can make a significant difference in your treatment options and long-term outcomes.
Next Steps: Getting Help for Your Back Pain in Naples
If our assessment tools suggest you may have a compression fracture:
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Schedule a consultation with our Naples back pain specialists within 24 hours
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Bring any recent imaging (X-rays, MRIs) from other providers
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Prepare a pain history including when symptoms started and what triggers them
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Review your medications including any steroids or bone health supplements
Contact our Naples office today to discuss your symptoms and imaging options.