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Vertebral Compression Fracture – What Causes It, and Is Surgery Needed?

Bệnh viện HIU· Feb 15, 2026· 2 min read
Vertebral Compression Fracture – What Causes It, and Is Surgery Needed?

Vertebral compression fracture is a condition in which the vertebral body (the bone blocks that make up the spine) is fractured or collapses, reducing the height of the vertebra and affecting the overall structure of the spine. This is a common and concerning health issue today, which can happen to anyone, especially older adults.

When the bone structure weakens and is no longer sturdy enough to bear load, it becomes prone to injury, creating common signs such as:

  • Sudden, severe pain in the lumbar spine area, worsening with walking, lifting, or changing position.

  • Limited spinal mobility.

  • Reduced height, hunched back, and spinal curvature.

Causes of the condition

The causes can stem from many factors:

  • Osteoporosis: This is the leading cause, common in people over 50, when bone density decreases and bones become brittle and prone to breaking.

  • Trauma: Accidents, falls, or strong impacts can suddenly place great pressure on the spine.

  • Related conditions: Certain diseases such as bone metastasis from cancer, multiple myeloma, rheumatoid arthritis, or spinal infection can also affect bone strength.

Therefore, vertebral compression fractures need to be detected and treated as early as possible to avoid dangerous complications that affect the patient's mobility.

Treatment methods – is surgery needed?

According to Dr. Nguyen Van Toai (Level I Specialist), General Surgery Department, HIU Hospital, shares:

"The treatment approach will be considered based on the cause, the extent of the injury, and the patient's health condition. Through examination and diagnostic testing, specialist doctors will discuss the specific treatment direction."

For mild cases, doctors will prioritize conservative treatment for the patient:

  • Bed rest and monitoring during the initial period.

  • Pain relievers and anti-inflammatory medication.

  • Support with a stabilizing brace.

Conversely, when conservative treatment does not yield effective results, surgery will be considered and specialized intervention indicated.

The Neurosurgery – Spine Department is a leading specialty of HIU Hospital, featuring:

  • An experienced, dedicated team of doctors, many of whom have worked at major hospitals in Ho Chi Minh City.

  • An advanced support equipment system and a modern operating room.

  • A care process designed to be appropriate.

The hospital aims to help patients access clear, safe treatment options, gradually improving and restoring their mobility.