Vertebral Fractures

The spine is made up of vertebrae (7 cervical vertebrae, 12 dorsal or thoracic vertebrae, 5 lumbar vertebrae, sacrum and coccyx). These vertebrae can suffer fractures, fissures or crushing, which can be very painful, although it is not uncommon to find old fractures, already consolidated, in patients who have had no record of them.

The vertebrae most frequently fractured are those of the dorsal and lumbar spine, followed by the sacrum. Fractures of cervical vertebrae are very rare.

The trigger for a vertebra to suffer a fracture is usually a major or minor trauma, such as a fall. However, in elderly patients, with advanced osteoporosis, or with other diseases, fractures can occur with minimal trauma (e.g., a cough), or even without trauma.

The most frequent cause of vertebral fracture is osteoporosis, which, in turn, can have various causes. Less frequently, fractures may be due to other metabolic or endocrinological diseases, hematological diseases such as myeloma, or metastases from tumors in a location other than the vertebra.

Vertebral fractures usually cause very severe pain accompanied by a great inability to move. They are also accompanied by loss of height and curvature of the spine (kyphosis). Some patients cannot tolerate the decubitus position and need to sleep in a sitting position. The reverse can also occur.

Until relatively recently, the treatment prescribed for vertebral fractures was rigid bracing, bed rest and administration of analgesics and other medications. Such treatment was maintained for as long as it was deemed necessary for the fracture to consolidate and the pain to cease. However, in a large percentage of patients, the structural changes produced by the fracture led to the chronification of pain and the progression of disability and dependence. These consequences were increased in patients with more than one vertebral fracture, with a cumulative effect.

Currently, a therapeutic protocol consisting of potent analgesia, state-of-the-art antiresorptive medication (to prevent new fractures and promote consolidation of the fractured vertebra), and early rehabilitation is recommended. In some patients in whom pain relief is not achieved with these methods, there are new techniques that allow almost immediate pain relief, such as Vertebroplasty and Kyphoplasty. In different modalities, they consist of injecting medical cement inside the vertebra by introducing cannulas through the skin. In the last few years, an advance in these techniques has emerged under the name of Vesselplasty, making it possible to reduce the risks of the aforementioned techniques.

For patients who are not candidates for spinal cementation techniques and whose pain is not controllable with available drugs, there is the possibility of using continuous infusion of drugs at the spinal level, either by means of an external infusion pump or with a fully implantable and programmable pump.


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Patient Reviews

After months of intense pain in my back and leg due to a hernia, and after being full of medications and rehabilitation sessions, finally a friend recommended this clinic and I was absolutely right. They visited me very quickly and Dr Ruiz performed a radiofrequency intervention that has solved the problem, it no longer hurts and I have regained my quality of life, which I had lost. I only have words of gratitude

I had a rhizolysis two years ago and it is the best decision I ever made. I was advised to go to this clinic. Excellent staff and treatment. I would come back without hesitation. I am a different person since I don’t feel any pain.

In a frankly desperate situation with my mother suffering from trigeminal neuralgia and with continuous and terrible pain during confinement and no public health doctor able to relieve her pain in any way, it was miraculous to find this center by surfing the internet. In just a couple of weeks after the initial visit, Dr. Ruiz operated on my mother in an outpatient and non-aggressive surgery and in just a few days she regained speech, mobility and finally began to sleep as she no longer suffered the tremendous pain. And if the treatment has been effective thanks to the hands of a great doctor, this does not mean that the whole team at the center is not deserving of credit. From the reception to the nurses, they are all exemplary professionals who make you feel safe and in good hands at all times. My mother is already another and just 4 months later we are aware that there is no better investment than health and Clínica Vértebra is a success. Totally recommendable. THANKS A MILLION.

It has been a long time since I felt what it was like to live without pain. I only have words of gratitude for the whole team, from the reception staff to the operating room team. Thank you Dr. Squarcia for such a detailed explanation of my problem and for the accuracy of the treatment. I pray to God that this wellness lasts for a long time.

I had a lumbar facet denervation (Rhizolysis) this morning and I have to say that «O» pain. It has been 10 hours since the intervention and I am still without any pain and without medication. Congratulations to the whole team. Viggo Adeler (Physician)

Good treatment and attention, I went with a horse sciatica and they left me like new, I only have words of thanks.

It is a place that has improved my quality of life.

I only have words of thanks to Doctors Ricardo Ruiz and Dr. Matias, I have gone to them twice, and I only have words of thanks, they have solved my problem, first of Lumbar vertebrae and the second of a shoulder, and in both cases total success, I have not returned to have any kind of discomfort, I am totally grateful to them, they have changed my life. THANK YOU DOCTORS, you are fantastic.

First visit with Dr. Mattia Squarcia, finally a doctor who listens to me and looks at all my medical tests. I have already had a bad experience with another pain clinic where the doctor did not listen to me and did not even look at a single medical test.

I have only words of thanks, thank you Doctor Ricardo Ruiz.