Once stability or instability of the spine is established then your treating team can develop a management plan. Most compression fractures - tiny cracks in the bones of your spine, or vertebra - in women at this age happen because of osteoporosis, a condition defined by bones that are weak and. However where there is concern about the nerves, discs and ligaments then an MRI can add essential detail that enables us to diagnose the full extent of the injury. Compression fractures commonly form in the thoracic spine or the lumbar spine, located in the middle or lower part of your back. Vertebral compression fractures (VCFs) occur when the bony block or vertebral body in the spine collapses, which can lead to severe pain, deformity and loss of height. Both are very good at assessing the alignment and integrity of the bones of the spine.ĬT can exclude instability in 98% of cases of spinal trauma. This topic review describes injuries to the cervical, thoracic, and lumbosacral spinal column, including fractures, dislocations, and subluxations of the vertebrae, and injuries to the spinal ligaments. She was treated conservatively in a brace and did well with con-servative management, with improved back pain (Fig. A CT scan of the lumbar spine showed an L-2 compression fracture with approximately 19° of loss of height anteriorly. InvestigationsĬommon investigations in spine trauma are X-rays and CT scans. L-2 compression fracture in addition to a left wrist frac-ture. 74 75 It is important to remember that less than 5 of primary care physicians routinely examine for RFs during an initial screen. This occurred in this case and may have resulted in a life-changing clinical presentation such as cord compression due to fracture. That’s done by minimising any movement of your spine until we’re able to assess its stability through careful examination and investigation. RRIs primarily affect the joints of the lower limb and lumbar spine. First AidĪfter an injury to the spine, the first concern is to protect your nerve structures. Once your muscles have started adapting to the change in height caused by the spinal compression fracture and the compression fracture has had time to heal (. Not all fractures require surgery and many times a full recovery can be expected if there is no neural (nerve) injury. Treatment for lumbar fractures depends on the location and severity of your injury, particularly whether or not your nerves are involved.
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