a 87 year- old caucasian woman is seen in the office with the sudden onset of severe back pain in the mid dorsal region, occurring after she lifted her dog to give it a bath. her previous health has been good, though she had a mastectomy for carcinoma 14 years previously and she has a chronic cough, which has lately been worse. she smokes over a pack a day and has for more than 30 years. examination reveals a thin woman with prominent dorsal kyphosis. she is very tender to dorsal spine percussion and splints the back markedly, preventing most motion. what diagnosis seems most likely?

The upper and middle region of the back is where the thoracic spine is found. The thoracic spine contains twelve vertebrae, labelled T-1 through T-12. T-1 through T-5 nerves affect muscles in the upper chest, mid-back, and abdominal muscles. Each number on the spinal column corresponds to the nerves that run through that region of the spinal cord.

What is osteoporotic fracture?

Osteoporotic fractures, also known as fragility fractures or low-trauma fractures, are those brought on by falls of at least one metre from the ground and without significant trauma, such as a car collision. The spine is where osteoporosis-related fractures most frequently happen. In the United States, there are an estimated 1.5 million vertebral compression fractures, often known as spinal fractures. They occur roughly two times as frequently as other fractures, like shattered hips and wrists, that are typically associated with osteoporosis.

Thus from above conclusion we can say that the diagnosis seems most likely to be osteoporotic fracture of the thoracic spine.

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