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Back pain from painful osteoporotic vertebral fractures: Discrepancy between the actual fracture location and the location suggested by patient-reported pain or physical examination findings

Osteoporosis International Aug 15, 2020

Jin H, Ma X, Liu Y, et al. - Researchers performed an observational study, following a prospective design, enrolling 358 patients with vertebral fractures (VFs), in order to determine the consistency between the fractural vertebrae location and the location suggested by patient-reported pain or physical examination findings. Location of the VF segments identified using whole-spine magnetic resonance imaging (MRI) was determined using the locations of two symptoms (patient-reported back pain [P-RBP], radiating pain [RP]) and findings from two physical examinations (spinal palpation tenderness [SPT], axial spinal percussion pain [ASPP]). Findings suggest that the spinal range for imaging tests could be determined with the positive finding of RP or ASPP, while they suggest performing an MRI scan covering the whole thoracic and lumbar spine in VF-suspected patients with P-RBP or positive SPT. They emphasize practicing caution when using symptoms or physical examination findings to localize VFs.

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