Vertebral fractures

Kristine E. Ensrud, John T Schousboe

Research output: Contribution to journalArticlepeer-review

138 Scopus citations


A 72-year-old woman presents with a 2-month history of increasing pain in her lower back, which has not improved with ibuprofen and is causing difficulty with walking and dressing. On questioning, she reports having lost about 5 cm (2 in.) of height since she was a young woman. On examination, there is mild kyphosis in her lower thoracic spine but no point tenderness. A lateral spine radiograph reveals that the L2 vertebra is biconcave in appearance, a finding that is consistent with a vertebral fracture (Fig. 1). How should this case be managed?

Original languageEnglish (US)
Pages (from-to)1634-1642
Number of pages9
JournalNew England Journal of Medicine
Issue number17
StatePublished - Apr 28 2011


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