Presentation
There was a delayed presentation in seven patients, of which two presented with neurological compromise. The neurological deficit did not change with surgery and there were no neurological complications as a result of surgery. [ncbi.nlm.nih.gov]
The patient may present with radicular signs and symptoms due to root compression. Depending on severity of presentation either conservative or operative management will be needed. [posna.org]
Entire Body System
- Pseudotumor
Boddu’s specialties include aneurysms, arteriovenous malformations, tumors, stroke, pseudotumor cerebri, and tinnitus. Dr. [weillcornellbrainandspine.org]
- Hunting
Zimmerman E, Grant J, Vise WM, Yashon D, Hunt WE. Treatment of Jefferson fracture with a halo apparatus. J Neurosurg 1976;44:372. [uscspine.com]
Musculoskeletal
- Ankylosis
Fractures with posterior-column ankylosis were significantly associated with delayed paralysis. CONCLUSIONS: CT-MPR was useful for evaluating spinal fractures and determining treatment in patients with DISH. [ncbi.nlm.nih.gov]
There is a gradual bone formation in the spinal ligaments and ankylosis of the spinal diarthroses which lead to stiffness of the spine. [bmcmusculoskeletdisord.biomedcentral.com]
Discussion Ankylosis of the spine results in biomechanical changes that predispose the patient to serious spinal injury ( 8, 9 ). [ajnr.org]
- Atlanto-Axial Instability
Occipital Condyle Fractures Atlanto-Axial (C1-C2) Instability (TAL Insufficiency) Cord at risk if > 5mm instability If > 3 attenuated, >5 ruptured, >7mm need surgery If C1 fx with >7mm displ of lateral masses, TAL is insufficient. [uscspine.com]
Psychiatrical
- Loss of Initiative
The difference between initial and final height loss and initial and final local kyphosis was documented as height loss difference and kyphotic angle difference. The presence of old fractures and intravertebral cleft were also documented. [ncbi.nlm.nih.gov]
Workup
X-Ray
- Schmorl's Nodes
’s nodes; can be distinguished by vetebral body height parameters on radiograph. [14] Examination Screening for Fracture Algorithms for screening patients for thoracic fractures and the need for imaging have been developed but not fully validated. [physio-pedia.com]
Biopsy
- Hepatocellular Carcinoma
carcinoma, and a 71-year-old man with a Th12 and L1 pathological fracture from multiple myeloma. [ncbi.nlm.nih.gov]
Treatment
RESULTS: Conservative treatment was successful in all stable fractures, whereas it failed in the unstable injuries. The surgical treatment stabilized without significant deformity in five of the seven unstable fractures. [ncbi.nlm.nih.gov]
Prognosis
While the diagnosis can be suspected from history and physical examination, plain x-rays, as well as a CT scan or MRI, are often helpful in accurate diagnosis and prognosis. [neurosurgery.ucla.edu]
Prognosis The outcome and prognosis of patients with lumbosacral fractures depends on their neurologic condition. [emedicine.medscape.com]
Outlook (Prognosis) Most compression fractures due to injury heal in 8 to 10 weeks with rest, wearing of a brace, and pain medicines. However, recovery can take much longer if surgery was done. [mountsinai.org]
The type of SCI is important in the prognosis and return of function. A complete injury means that there is no function below the level of the injury. This means the absence of any sensation and no voluntary movement. [ana-neurosurgery.com]
Etiology
Incidence rates were calculated with respect to age, gender, etiologies of trauma, anatomical distribution, anatomical classification, American spinal injury association impairment scale (ASIA) classification of neurological deficit and associated injuries.There [ncbi.nlm.nih.gov]
Etiology: In general, compared with adults, pediatric patients have greater ligamentous flexibility and elasticity, shallower and more horizontal facets, and relative paraspinal muscle immaturity. [posna.org]
For instance, serum protein electrophoresis and urine protein electrophoresis tests are ordered to evaluate for multiple myeloma, the most common form of bone cancer in elderly patients and frequent etiology of pathologic compression fractures. [uscspine.com]
CT scan of a Compression fracture of the Thoracic Spine Epidemiology /Etiology Compression Failure of the anterior column of the spine due to compression forces, mainly into flexion. [physio-pedia.com]
Epidemiology
KEYWORDS: Elderly; Epidemiology; Gender difference; Spinal fracture; Trauma [ncbi.nlm.nih.gov]
Pathophysiology
The pathophysiology of this injury pattern is dependent on the axis of flexion. Several subtypes exist, and each is dependent on the axis of flexion and on the number and degree of column failure. [emedicine.medscape.com]
Pathophysiology The hallmark for Ankylosing spondylitis is inflammatory sacroiliitis with cartilage destruction and bony erosions followed by ascending inflammation of the vertebral apophysis and enthesis. [ncbi.nlm.nih.gov]
These worries are not unfounded, because there is a substantial risk of subsequent fractures of all types and further morbidity in persons who have had a vertebral compression fracture. 9 Pathophysiology and Risk Factors Vertebral compression fractures [aafp.org]
Prevention
This technique is performed in order to stabilize the fracture and prevent further collapse. Prevention The most effective way to prevent vertebral compression fractures is to prevent osteoporosis. [oaklandortho.com]
Examples of vertebral body fractures Prevention Prevention from high impact accidents can save your life. Always wear a seat belt when riding in a car. [spinemd.com]
Doing so helps prevent loss of muscle tone and additional loss of bone density. People with osteoporosis are treated with bisphosphonates and sometimes calcitonin. Both drugs help prevent bone from breaking down and increase bone density. [merckmanuals.com]
How Can I Prevent Spine Fractures? The best way to prevent them is to prevent osteoporosis. Even if you already have it, you can take steps to keep it from getting worse. [webmd.com]