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Frequent back pain that becomes normal may not always be caused by muscle pain or Office Syndrome, but could be a warning sign of “vertebral compression fracture,” a condition commonly occurring in the elderly with osteoporosis or those who have experienced severe trauma to the back. If left untreated, it can lead to chronic pain, difficulty moving, or complications.
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Currently, there are treatments that can quickly relieve symptoms, such as vertebral cement injection (Vertebroplasty and Balloon Kyphoplasty), which are alternative options that help reduce pain and allow fast recovery without major surgery. 

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<h2>What causes vertebral compression fractures and who is at risk?</h2>
Vertebral compression fractures mostly occur in the elderly but can also happen to those who have experienced accidents or trauma to the lower back, back, and buttocks.
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The main causes include vertebral compression fractures due to osteoporosis, fractures from accidents, various diseases such as spinal tuberculosis (TB spine), as well as lifestyle factors like calcium and vitamin D deficiency, genetic disorders, or congenital bone abnormalities.
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<h2>Common symptoms in those at risk of this condition </h2>
Include
<ul>
<li style="font-weight: 400">Sudden or chronic back pain lasting for a long time</li>
<li style="font-weight: 400">Pain radiating from the back to the hips or legs</li>
<li style="font-weight: 400">Numbness or weakness in the arms or legs</li>
<li style="font-weight: 400">In the elderly, noticeable spinal curvature and hunching</li>
<li style="font-weight: 400">Difficulty moving; pain worsens after sitting, standing, or walking for a long time</li>
</ul>
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<h2>Understanding vertebral cement injection: an option for patients with vertebral compression fractures</h2>
Treatment options for vertebral compression fractures vary, including non-surgical methods such as medication and rest. However, if symptoms do not improve, surgery may be required to realign the affected vertebrae by fusing and stabilizing them with metal implants.
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For patients with osteoporosis contributing to vertebral compression fractures, vertebral cement injection is sometimes used. This procedure involves injecting a cement-like material into the vertebrae to restore shape, increase strength, and reduce the risk of future problems. There are two types: Vertebroplasty and Balloon Kyphoplasty.
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<h2>What is the difference between Vertebroplasty and Balloon Kyphoplasty vertebral cement injections?</h2>
Vertebroplasty and Balloon Kyphoplasty are both popular procedures due to their small incisions and short recovery times. The differences between the two are as follows:
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<h2>Vertebroplasty</h2>
This is the traditional treatment method where the surgeon inserts a needle into the fractured, collapsed, or broken vertebra and injects cement. The cement flows into the bone cavities, helping to reduce pain, strengthen the vertebra, and lower the risk of repeated fractures at the same site.
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<h2>Balloon Kyphoplasty: a treatment option for vertebral compression fractures that restores bone shape and quickly reduces pain</h2>
Balloon Kyphoplasty is a popular current treatment because it reduces pain and helps restore the vertebra’s shape as close to normal as possible. This is achieved by first inserting a balloon into the collapsed vertebra and inflating it to expand the bone to the desired shape, then injecting cement into the created space. This procedure is an advancement of Vertebroplasty.
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The advantages of Balloon Kyphoplasty include reducing the chance of cement leakage outside the bone cavity and better restoring vertebral height compared to the traditional method. The balloon insertion reduces pressure during cement injection and allows better control of cement flow than Vertebroplasty, which only involves cement injection.
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<h2>Balloon Kyphoplasty procedure steps</h2>
<ul>
<li>Patient preparation: The patient lies face down on the bed, and local anesthesia is injected at the treatment site to relieve pain during the procedure.</li>
<li>Needle insertion: The doctor injects contrast dye to accurately locate the site, then inserts the balloon, inflates it to shape the vertebra, and injects special cement.</li>
<li>Procedure monitoring: The patient lies flat for 2–3 hours to allow the cement to harden, followed by X-rays to check for any issues. If none are found, the patient can go home within 1–2 days and return to normal activities shortly after.</li>
</ul>
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Currently, Phyathai 1 Hospital has adopted Balloon Kyphoplasty for treating vertebral compression fractures, with an experienced spinal specialist team and modern medical equipment to ensure safe, precise treatment and rapid patient recovery under close supervision at every step.
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Regardless of the procedure used, treatment depends on the patient’s vertebral condition and the doctor’s judgment and diagnosis to provide the most effective and targeted care. Although vertebral cement injection is generally safe, risks such as infection, though rare, should be considered.
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There is also a risk of cement leakage into other parts of the spine, which can compress nerves and cause harm. Allergic reactions to medication or wounds from the procedure should also be monitored. Therefore, after vertebral cement injection, patients should strictly follow medical advice, especially avoiding strenuous activities for 1–2 weeks.
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<h2>Accurate diagnosis and prevention of vertebral compression fractures at Phyathai 1 Hospital</h2>
Frequent back or neck pain, if left untreated, can lead to complications such as vertebral compression fractures. Early diagnosis to identify the true cause is therefore crucial.
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Phyathai 1 Hospital offers diagnostic packages for back and neck pain using MRI, which can differentiate between bones, discs, muscles, nerves, and ligaments. This is suitable for patients with pain radiating to the hips or legs or numbness, allowing precise diagnosis and treatment. Patients can consult spinal and neurological specialists and undergo spinal X-rays with MRI to identify the true cause and plan treatment before severe complications develop.
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For those diagnosed with risk factors or symptoms, Phyathai 1 Hospital has a specialized medical team providing close care at the Brain and Spine Center, Building 3, 5th Floor.
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Chronic back pain may be a sign of "spinal compression." Understand the causes and treatment methods with vertebral cement injection. Vertebroplasty and Kyphoplasty are new options that help reduce pain and enable quick recovery without major surgery.

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Chronic back pain may risk 'vertebral compression fractures' but can be treated with cement injection!

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