Condition · Spinal fractures & trauma
Vertebral Compression Fracture
A compression fracture changes the shape of a vertebral body — often suddenly painful, sometimes found incidentally, and frequently tied to weakened bone.
Symptoms
Pain is often sudden, focal, and worse with standing, walking, or position changes. Some fractures are found incidentally; leg symptoms, weakness, or bowel and bladder changes suggest possible neural involvement.
Diagnosis
X-rays show height loss and alignment. MRI helps determine whether a fracture is recent and whether nerves are affected; CT defines bony detail. Evaluation also addresses osteoporosis, trauma, cancer history, and other causes of weakened bone.
Treatment options
Many stable fractures improve with time, activity modification, medication, a short course of bracing when appropriate, and treatment of underlying bone health. Early, safe mobility is encouraged.
When surgery is considered
Kyphoplasty or stabilization may be considered for selected patients with persistent severe pain from an active fracture, progressive collapse, instability, deformity, or neurologic compromise.
When to seek care promptly
Seek prompt care for new leg symptoms, weakness, or bowel or bladder changes after a fracture.
Initial consultation or second opinion?
Meet Dr. Jihoon Choi for an initial consultation — or bring your imaging for an independent second opinion before your next step. Call (972) 817-7450 or request a visit online.