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  • Q&A with Australian Health Practitioners

    Can osteoprosis wedge fracture be mistaken for scheuermanns?

    Related Topic
    Osteoporosis & Bone Health
    I've been diagnosed with osteoprosis compression fractures and I'm 42yrs old an I hurt my back lifting 50-60 klg garbage bin full of soil an rock. My back and right leg have severe pain 24/7 and getting worse but also a insurer doctor has come along an has tried to say I have not got fractures. Ive got Scheuermanns disease an now i would truly like to no can this be right cause I dont believe this insurerence doctor.. please help?

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    Dr Beau Woods

    Chiropractor

    Dr Beau Woods Chiropractor BSc. BChiro (Murdoch)Special interests; Postural correction, family care, spine related disorders, fibromyalgia & motor vehicle injuries. View Profile

    Im guessing you have only had an xray… Scheuermann's disease and osteoporotic VCF can sometimes be difficult to tell apart on plain xray.

    A bone scan is the best way to see if you do indeed have low bone density.
    MRI or CT would be best to evaluate the suspect vertebrae.

    The radiologists opinion on the more advanced imaging modalities should be enough to ‘hang your hat on’ but unfortunately - as is often the way in these cases, it might be time to seek legal advice.

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    Dr Ryan Hislop

    Chiropractor

    Ryan Hislop is the Clinical Director at the Orange Chiropractic Health and Wellness Centre. As an experienced and evidence-based diagnostician, Ryan works largely by medical … View Profile

    In terms of radiological findings, true Scheuermann's Disease requires the presence of at lease three continuous segments showing irregular end plates, anterior vertebral body wedging and a loss of intervertebral disc space.

    This differs from osteoporotic compression fractures as these fractures may be singular, require the bone to be of course osteoporotic (decreased bone density).  If there happens to be three of more compression fractures next to eachother this may be difficult to determine one way or another.

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