Injury & Trauma
A vertebral compression fracture can cause sudden, severe back pain — and it can be repaired through a needle, not an open incision. At Desert Spine and Pain, Dr. David L. Greenwald, MD, FAANS, FACS, a dual board-certified spine surgeon and neurosurgeon, relieves the pain quickly with minimally invasive treatment.

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A vertebral compression fracture is a collapse of the front of a vertebra — often from osteoporosis, sometimes with little or no injury — and it can cause sudden, intense back pain. The good news: it can usually be repaired through a small needle, with relief often felt within a day. At Desert Spine and Pain in Phoenix, a dual board-certified spine surgeon and neurosurgeon provides that minimally invasive care.
Book a Consultation — (602) 566-9500Normal Vertebra vs. Compression Fracture
A vertebral compression fracture (VCF) happens when the front of a vertebra collapses, giving it a wedged shape. The most common cause is osteoporosis — weakened bone that can fracture with minimal stress, such as a cough, a minor fall, or lifting — but VCFs also result from trauma or, less often, other conditions.
A compression fracture can cause sudden, sharp back pain and, over time, loss of height or a rounded (stooped) posture. Most are stable, and the pain responds very well to a minimally invasive repair.
See a specialist for sudden, severe back pain — especially if you're over 50, have osteoporosis, or had a minor fall. Prompt treatment relieves pain and can prevent further collapse and deformity.
Go to an emergency room or call us immediately if you develop progressive weakness or numbness, loss of bladder or bowel control, or severe pain after a significant accident or fall.
Compression fractures are treated least-invasive-first — most are relieved without open surgery.
Many compression fractures heal with a supportive brace, activity modification, and time — the gentlest path when the fracture is stable.
Kyphoplasty uses a small balloon to restore some vertebral height, then bone cement to stabilize the fracture — often relieving pain within a day.
Vertebroplasty injects bone cement directly into the fractured vertebra to stabilize it and stop the pain — a quick, needle-based outpatient procedure.
Choosing the right vertebral compression fracture specialist in Phoenix matters. At Desert Spine and Pain, your care is led by Dr. David L. Greenwald, MD, FAANS, FACS — a physician who is both a board-certified spine surgeon and a neurosurgeon. That dual expertise is rare, and it means one expert can guide you across the full spectrum of care — from a simple injection to complex surgery — and recommend what is genuinely best for you, whether you need a vertebral compression fracture doctor for conservative care or a surgeon when surgery is truly the answer.
A rare dual credential — so the specialist who treats you can also perform surgery if it's ever needed.
Most patients get better without surgery. We only advance when your condition truly requires it.
No referral needed. We make it straightforward to see a top spine specialist, even out-of-network.
24/7 concierge response and close coordination with personal-injury attorneys.
Life Beyond the Pain

From your first visit, the goal is a clear diagnosis and a plan built around you — not a one-size-fits-all protocol.
We listen to your history, examine you, and review any prior imaging — no referral required.
If needed, we order or review MRI/X-ray imaging and may use diagnostic nerve testing or a diagnostic injection to confirm the exact source.
Dr. Greenwald explains your options in plain language and starts with the least invasive treatment likely to work.
We deliver your care — therapy, a procedure, or surgery at an affiliated accredited facility — and follow you closely until you're back to living.
Cost and coverage shouldn't stand between you and relief. Desert Spine and Pain welcomes out-of-network patients and will walk you through what your evaluation and treatment are likely to involve before anything is scheduled — so there are no surprises. We'll help you understand your benefits and options, whether you're using insurance, paying out-of-pocket, or being treated under a personal-injury claim.
If your pain started with a car accident, slip-and-fall, or work injury, we offer a dedicated pathway: prompt evaluation, thorough documentation and records for your case, and direct coordination with your personal-injury attorney. You focus on recovering; we handle the medical side.
Schedule Your ConsultationPatients travel to Desert Spine and Pain from across Arizona for specialist spine care — because the right spine surgeon is worth the drive. We welcome patients from Phoenix and communities throughout the Valley and beyond:
…and surrounding Arizona communities. Out-of-network patients are welcome, and no referral is required — schedule a consultation.
Spinal arthritis that develops after an earlier injury to a joint.
Learn MoreNot sure which applies? Start with the spine injuries & trauma we treat.
See a dual board-certified spine surgeon and neurosurgeon in Phoenix for prompt, minimally invasive treatment of a vertebral compression fracture.
Book a Consultation — (602) 566-9500What's the difference between kyphoplasty and vertebroplasty?
Both inject bone cement to stabilize the fractured vertebra. Kyphoplasty first inflates a small balloon to restore some lost height before the cement is placed; vertebroplasty injects the cement directly.
How quickly will my pain improve?
Many patients feel significant relief within 24–48 hours of a kyphoplasty or vertebroplasty, because the fractured bone is stabilized and stops moving.
Is treatment open surgery?
No. Kyphoplasty and vertebroplasty are minimally invasive, needle-based outpatient procedures done under live X-ray guidance — usually with local anesthesia and light sedation.
Will I get more compression fractures?
If you have osteoporosis, you're at higher risk, so we'll also recommend bone-health evaluation and steps to reduce the chance of future fractures.
Do I need a referral in Phoenix?
No referral is required, and we welcome out-of-network patients.




Dr. David L. Greenwald, MD
Neuro-Spine Surgeon


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Every step you take toward relief from neck pain is a step toward restoring your comfort and freedom of movement. Dr. Greenwald and his caring team are here to support you from diagnosis through recovery, tailoring a treatment plan that fits your unique needs and lifestyle. Whether your pain stems from an injury, posture issues, or a degenerative condition, we’re here to help you find lasting relief. Take control of your spine health today—schedule your consultation and start feeling better, one step at a time.



Dr. David L. Greenwald, MD, FAANS, FACS, is a board-certified spine surgeon and neurosurgeon with extensive experience diagnosing and treating vertebral compression fracture, which can cause pain, numbness, or weakness. He uses advanced imaging to pinpoint the true source of your symptoms and builds a personalized, least-invasive-first plan — from conservative care and targeted injections to minimally invasive surgery only when it is truly needed. His skill and patient-centered approach help patients throughout the greater Phoenix, Arizona area experience meaningful pain relief, reduced recovery time, and restored mobility.


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