The most important treatment should focus on the underlying osteoporosis and patient should be started as soon as possible to prevent other fractures. Patients should be given adequate pain killers to help them staying mobile. The biggest risk for patients suffering osteoporotic fractures are complications due to immobility such as pneumonia and deep vein thrombosis (blood clots) in the legs.
Braces can be helpful to reduce pain and prevent angulation (kyphosis) of the spinal segment involved. These should be custom made or fitted by a trained physiotherapist or surgical appliances department. Simple 'over-the-counter' belts are not sufficient. The duration of the treatment and wearing of the belt should be supervised by a spine surgeon or trained physiotherapist.
Vertebroplasty or kyphoplasty are very good treatment options for patients who suffer severe and persistent pain. Open surgery is indicated only in very rare cases of severe or progressive deformity, spinal cord or cauda equina compression.
Most patients with osteoporotic fractures can be treated non-operative. There is a risk of further fractures if the osteoporosis is not treated or if the normal structure of the spine changes and the spine bends forward (kyphosis) because of the wedge-shape of the collapsed vertebral body.