Spinal Injuries & Trauma
Vertebral Compression Fractures
Understanding Collapsed Vertebrae in the Spine
A vertebral compression fracture occurs when a spinal vertebra collapses, often due to trauma or weakened bone from osteoporosis. These fractures can cause sudden pain, loss of height, or a hunched posture. At Desert Spine and Pain, we know how concerning back pain and fractures can feel. Led by Dr. David L. Greenwald, M.D., FAANS, FACS, one of the nation’s most respected neurosurgeons, our Phoenix team provides precise diagnosis and advanced treatment — including minimally invasive procedures — to restore function and relieve pain.
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What is a Vertebral Compression Fracture?
A fracture where the vertebra partially collapses, losing height
Most commonly occurs in the thoracic (mid-back) or lumbar (lower back) spine
May result from:
Osteoporosis – Weak bones breaking even from minor falls or lifting
Trauma – Car accidents, sports injuries, or falls
Tumors – Weakening the bone structure
Causes and Risk Factors
Osteoporosis – The leading cause, especially in postmenopausal women
Trauma – High-energy accidents in younger patients
Cancer / metastasis – Weakening bones from tumors
Long-term steroid use – Increases risk of bone thinning
Advanced age – Natural decline in bone strength
Symptoms of Compression Fractures
Sudden onset of severe back pain
Pain that worsens with standing, walking, or bending
Relief when lying down
Loss of height over time
Stooped or hunched posture (kyphosis)
In severe cases: numbness, tingling, or weakness if nerves are compressed
Diagnosis
At Desert Spine and Pain, evaluation includes:
History & exam – Reviewing pain triggers and mobility
Imaging –
X-rays to confirm vertebral collapse
MRI to check for recent vs. old fractures and nerve involvement
CT scans for detailed bone assessment
Treatment Options
Non-Surgical Care
Pain medications and bracing for stability
Physical Therapy for posture, mobility, and core strength
Activity modification and fall prevention strategies
Osteoporosis management to prevent further fractures
Minimally Invasive Surgical Options
If pain persists despite conservative care, Dr. Greenwald may recommend:
Vertebroplasty – Injection of bone cement into the fractured vertebra to stabilize it
Kyphoplasty – Balloon-assisted procedure to restore height before stabilizing with bone cement
Advanced Surgical Options
In rare severe cases:
Spinal Fusion – To stabilize unstable fractures or multiple collapsed levels
Recovery Timeline
Conservative care – Many improve within 6–12 weeks with rest, bracing, and therapy
Vertebroplasty/Kyphoplasty – Pain relief is often immediate, with most patients resuming activity within days
Fusion – Recovery may take several months for full healing
Why Choose Desert Spine and Pain?
Expert neurosurgical care – Dr. Greenwald has extensive experience treating fractures and spinal trauma
Minimally invasive options – Kyphoplasty and vertebroplasty for faster relief and recovery
Comprehensive approach – From osteoporosis management to advanced surgery if needed
Compassionate support – We provide reassurance and clarity through every step of care
Frequently Asked Questions
Are compression fractures always caused by trauma?
No. In older adults, many occur from osteoporosis and may happen during everyday activities.
Do compression fractures heal on their own?
Some heal with bracing and rest, but many benefit from minimally invasive procedures for faster pain relief.
What is the difference between vertebroplasty and kyphoplasty?
Both stabilize the fracture with cement. Kyphoplasty uses a balloon to restore vertebral height before cement injection.
Can compression fractures cause permanent problems?
If untreated, they can lead to spinal deformity, chronic pain, or additional fractures.
How does Desert Spine and Pain treat compression fractures differently?
We combine expert neurosurgical care with minimally invasive procedures, ensuring patients get fast relief and long-term protection against future fractures.
Dr. David L. Greenwald, MD
Neuro-Spine Surgeon
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If you’re suffering from vertebral compression fractures, early diagnosis and treatment can prevent worsening pain and further spinal damage. Dr. Greenwald and his caring team will work with you to determine the most effective approach for your condition—whether through bracing, bone-strengthening therapies, or minimally invasive procedures. Every step you take toward treatment brings you closer to comfort, stability, and restored quality of life. Schedule your consultation today and take the first step toward healing and relief.
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Over 30 Years Experience in Orthopedic & Neuro Spine Surgeries.
Dr. David L. Greenwald, M.D., F.A.C.S.
Neurosurgeon | Spine Surgeon | Regenerative Medicine
Dr. David L. Greenwald, MD, FACS, is a board-certified spine surgeon specializing in the treatment of vertebral compression fractures, a painful condition often caused by osteoporosis, trauma, or degenerative spine disease. These fractures occur when weakened vertebrae collapse, leading to sudden back pain, loss of height, or spinal deformity. Dr. Greenwald utilizes advanced imaging to assess the severity of the fracture and offers both conservative and minimally invasive treatment options, including vertebroplasty and kyphoplasty, to stabilize the spine and relieve pain. With his expertise and compassionate care, Dr. Greenwald has helped countless patients throughout South Florida regain mobility, strength, and confidence after spinal fractures.
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