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Topics:
Palliation • Medical Oncology • Internal Medicine • Endocrinology • Bone and Calcium Disorders
What is the optimal management of pain and loss of function due to pathologic compression fractures?
Assume no epidural/cord compromise. Is kypho/vertebroplasty, radiation therapy, or conservative management (brace, antiresorptive therapy) the superior choice?
Answer from: at Academic Institution
I explain to my patients if they have an acute compression fracture that they are likely to experience pain for approximately 2-3 weeks that will gradually resolve. I often give them some type of pain relief using Tylenol or ibuprofen and if severe a more potent analgesic for a short period of...
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