title: Compression Fractures in the Setting of Diffuse Idiopathic Skeletal Hyperostosis.
abstract: Compression fractures are the most common vertebral fractures. They involve the anterior column of the spine, and are considered stable fractures due to the presence of intact posterior ligaments that aid in resisting further collapse and deformity. They are thus often managed conservatively. We describe a series of 3 cases that were initially diagnosed as compression fractures and managed conservatively. With the abundance of compression fractures and increase in preference for conservative management of compression fractures, it is of utmost importance to recognize the possibility of other spinal co-pathologies, especially that of hyperostosis of the spine, both by clinical judgment as well as radiological analysis before embarking on conservative management, should there be under-treatment and development of complications that could have otherwise been avoided, as in the cases presented in this series.
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
authors.forename: Amila M G
authors.initials: AM
authors.lastname: Silva
authors.affiliation: Department of Orthopaedics, National University Hospital, Singapore.
authors.forename: Shron Si Heng
authors.initials: SS
authors.lastname: Tan
authors.affiliation: Department of Orthopaedics, National University Hospital, Singapore.
authors.forename: Milindu Chanaka
authors.initials: MC
authors.lastname: Makaranda
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
authors.forename: John Li Tat
authors.initials: JL
authors.lastname: Chen
keywords: Compression fractures; Diffuse idiopathic skeletal hyperostosis; Roentgenography; Spinal