Vertebral compression fracture

In this article we will discuss the research on stem cell therapy in treating vertebral compression fracture and treatment options including the use of Prolotherapy.

New research from a combined team of researchers representing the United States, South Korea and Israel, summarized recent findings in the treatment of vertebral compression fracture:

Doctors at the California Institute for Regenerative Medicine also reported patients success with a combined treatment of stem cells and parathyroid hormone to enhance bone remodeling.2

Stem Cell Differentiation

The use of stem cell therapy for the healing of osteoarthritic bone disease is discussed at length in our companion article Stem cell therapy and bone repair in osteoarthritis patients, and our article on the role of stem cells, inflammation and bone repair.

Treating pain from a vertebral compression fracture

Since a vertebral compression fracture can be quite painful, anti-inflammatory medications are typically recommended. However, in the long run, they can do more damage than good, especially if injured ligaments are involved in the fracture, or may even have contributed to susceptibility to a fracture.

Although anti-inflammatory drugs have been shown to produce short-term pain benefit, they result in long-term loss of function and even more chronic pain by actually inhibiting the healing process of soft tissues and accelerating cartilage degeneration.

Another treatment option is orthotic support in the form of a brace to properly position the back while the fracture heals. More recently, vertebroplasty and spine balloon therapy have been added as treatment options. Both essentially “cement” the fracture. The problem with these treatment approaches, even if exercise and non-steroidal anti-inflammatory agents are added to the mix, is that they do nothing to address the potential problem of ligament and tendon laxity.

Prolotherapy for post-fracture pain

Osteoporosis affects the incidence of vertebral compression fractures as follows:

Prolotherapy, in strengthening the fibro-osseous junction – where the ligaments attach to the bone – stabilizes the compressed vertebral segment. The strengthening of the ligament and formation of new bone can realign the area, resulting in improved posture.

Prolotherapy, however, is not a complete treatment for osteoporosis compression fractures. The underlying cause must be corrected or the osteoporosis-induced compression fracture will recur.


1 Pelled G, Sheyn D, Tawackoli W, et al. BMP6-Engineered MSCs Induce Vertebral Bone Repair in a Pig Model: A Pilot Study. Stem Cells International. 2016;2016:6530624. doi:10.1155/2016/6530624.

2 Littman N, Abo A. Proceedings: Using Stem Cell Therapies to Reestablish Osteogenic Capability for Bone Regeneration. Stem Cells Translational Medicine. 2015;4(11):1247-1250. doi:10.5966/sctm.2015-0202.

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