637 Domestic fall – related multiple osteoporotic vertebral frac-tures: considerations amid late COVID-19 pandemic (a case on point)

Abstract

Our purpose was to introduce a case on point of a menopausal woman who suffered a
domestic fall with consecutive persistent back pain and reduced mobility, and delayed the
presentation amid late COVID-19 pandemic. On admission, she was confirmed with osteoporosis
according to DXA (lowest T-score of -5.5) and started zoledronate. She refused further orthopedic
intervention and remained on non-invasive long term rehabilitation plan while surveillance of antiosteoporotic medication was offered to her. Fragility vertebral fractures represent increasingly
common issues that require prompt intervention to overall a better prognosis. Late presentation and
a first diagnosis of 10 vertebral fractures is a part of real life medicine with consequences amid
potential lack of compliance to medication and adherence to a rehabilitation plan with short term
and long term effects. Transition to post-pandemic reality still represents a concurrent pitfall to
delayed hospitalization.
Keywords: fracture, osteoporosis, vertebra, zoledronate, rehabilitation, pain, surgery, pandemic, fal