Presentation
We present an approach to treating this complex problem without the use of a fracture table. [ncbi.nlm.nih.gov]
This injusy pattern is comparable to the condition presented in hangman’s fracture. Subtypes of seat-belt-type fractures according to Denis. [scientificspine.com]
Entire Body System
- Collapse
INTRODUCTION: This study was designed to investigate the clinical and radiological risk factors related to progressive collapse of acute osteoporotic spinal fractures (OSF). [ncbi.nlm.nih.gov]
This leads to collapse of the vertebrae much like a sponge collapsing under the pressure of one's hand. A fracture that collapses a vertebra in this way is referred to as a vertebral compression fracture. [medicinenet.com]
Using fluoroscopic visualization, balloon catheters are advanced into the collapsed vertebra utilizing a transpedicular or bipedicular approach. [helpingbacks.com]
- Swelling
Depending on the type of hip arthritis, symptoms can range from pain and swelling in the joints to difficulty using or moving the joint in a normal way. [northwell.edu]
In some cases, recovery can be as simple as getting ample rest, taking pain medication, and applying cold therapy to help reduce pain and swelling. A back surgery like balloon kyphoplasty might be required for more serious injuries. [blog.gameready.com]
This may include checking for swelling, bruising, tenderness and other signs of injury to the head, abdomen and back as well as evaluating strength, motion and alignment of arms and legs. A neurologic examination may also be done. [texasback.com]
You may also need any of the following: Medicines: NSAIDs, such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. [drugs.com]
Heat applied in the first week after an injury draws more fluid to the area, thereby increasing swelling and pain. [emedicinehealth.com]
- Asymptomatic
It can be painful or asymptomatic and is usually a stable fracture. Axial Burst Fraction: This is usually caused from a fall from a significant height, landing on the feet. [spinemd.com]
Among a cohort of 150 Swedish women with SLE, 29% had at least one prevalent vertebral compression fracture, but 25% were asymptomatic or unaware of the fracture, Katarina Almehed, MD, of the University of Gothenburg, and colleagues reported online in [medpagetoday.com]
Physical Exam Spinal fractures may be asymptomatic, but certain signs may alert your doctor: Sudden severe or chronic back pain Curve in the shape of your spine Loss of height X-Ray Exam After a physical exam, imaging tests such as x-rays or magnetic [en.vexim.com]
VCFs can also be caused by substantial trauma (e.g. automobile accident, gunshot wound or sports injury) and can be asymptomatic or entail minor symptoms. [ana-neurosurgery.com]
Respiratoric
- Sneezing
In older individuals with osteoporosis, nonstrenuous events such as a sneeze or a cough can result in a spinal fracture, leading to intense back pain. Spinal fractures may cause a stooped posture and loss of height. [cedars-sinai.edu]
Coughing and sneezing can also make the pain increase. Although the pain may move to other areas of the body (for example, into the abdomen or down the legs), this is uncommon. [orthoinfo.aaos.org]
For people with advanced osteoporosis, the fracture can even occur with extremely minor activity, such as sneezing, coughing, getting in or out of the bathtub, or simply turning over in bed. [spine-health.com]
With severe osteoporosis, even coughing or sneezing may result in fractures. Consequently, SCF shares many of the same risk factors as osteoporosis. [treatingpain.com]
- Cough
Spinal fractures can happen from something as dramatic as a fall or motor vehicle accident, or, in a patient with osteoporosis, from a simple movement like coughing or reaching overhead. [texasback.com]
In older individuals with osteoporosis, nonstrenuous events such as a sneeze or a cough can result in a spinal fracture, leading to intense back pain. Spinal fractures may cause a stooped posture and loss of height. [cedars-sinai.edu]
You cough up blood. Your arm or leg feels warm, tender, and painful. It may look swollen and red. You have new problems urinating or having bowel movements. [drugs.com]
Spinal fractures usually occur with little trauma; the simple acts of daily life, such as bending over, coughing, or lifting, can be all that's needed to collapse a vertebra. [sharecare.com]
Cardiovascular
- Chest Pain
You feel lightheaded, short of breath, and have chest pain. You cough up blood. Your arm or leg feels warm, tender, and painful. It may look swollen and red. You have new problems urinating or having bowel movements. [drugs.com]
Musculoskeletal
- Back Pain
In many cases, a VCF can occur with no pain. 1 Typically however, VCFs are indicated by one or more of the following symptoms: Sudden onset of back pain Back pain that worsens while standing or walking Limited spinal mobility Height loss, deformity and [helpingbacks.com]
Some patients with vertebral fractures report that they felt no back pain or other symptoms. [spine-health.com]
Spinal fractures are often confused with other types of back pain. Therefore, report any new or unusual back pain to your doctor promptly. Early diagnosis can lead to more treatment options. [en.vexim.com]
Symptoms Back pain is a signal that something is wrong. Sudden onset of pain or a chronic, dull ache in your back could indicate that a spinal fracture has occurred. [medtronic.com]
- Muscle Strain
Many patients mistakenly attribute the pain of a spinal fracture to a muscle strain or bad back. Further complicating the issue is that spinal fractures often occur with only mild, or even indiscernible, pain. [medstargeorgetown.org]
Instead, the patient's pain is often just thought of as general back pain — such as from a muscle strain or other soft-tissue injury — or as a common part of aging. [cedars-sinai.edu]
strain or other soft tissue injury, or as a common part of aging. [spine-health.com]
- Muscle Spasm
These people usually also have muscle spasms. Rarely, the spinal cord or spinal nerve roots (which pass through the spaces between the back bones) are injured. [merckmanuals.com]
Some more common symptoms include: Back or neck pain Numbness Tingling Muscle spasm Weakness Bowel and/or bladder problems Spinal deformity Height loss The two most common causes of a spinal fracture are weaken bones (osteoporosis) or sudden trauma. [dolmanlaw.com]
You may not have any signs and symptoms with a mild VCF, or you may have any of the following: Sudden, severe, and sharp back pain Back pain that gets worse when you stand or walk Muscle spasms in your back Problems urinating or having bowel movements [drugs.com]
They include back or neck pain, numbness, tingling, muscle spasm, weakness, bowel/bladder changes, and paralysis. Paralysis is a loss of movement in the arms or legs and may indicate a spinal cord injury. [mayfieldclinic.com]
spasms Sensitivity to stimuli Changes in sexual function Surgery to treat spinal cord injury (SCI) may be performed immediately after the injury, or at a later time. [ana-neurosurgery.com]
- Contusion
Three patients suffered pulmonary contusions demonstrated on both plain chest films and computerised tomography (CT) scans of the thorax. [ncbi.nlm.nih.gov]
Bone marrow edema in several vertebral bodies, either due to contusion or fracture. Interspinous edema and disruption of the ligamenta flava C7-Th1 and supraspinous ligament Th1-Th2. [radiologyassistant.nl]
Such injuries can also be the result of child abuse. [10] The spectrum of injury severity related to motor vehicle accidents ranges from minor soft tissue contusions to paraplegia and death. [emedicine.medscape.com]
- Upper Back Pain
They often occur in the upper lumbar segments as well, such as L1. See Thoracic Spine Anatomy and Upper Back Pain This article provides in-depth information on vertebral compression fractures, including symptoms, diagnosis, and treatments. [spine-health.com]
Neurologic
- Neglect
Paraplegia can be found easily, but diaphragm injury is often neglected and missed. When a patient suffers from both of them, he is in danger of death. What measures should be taken to rescue the patient's life depends on the severity of the wounds. [ncbi.nlm.nih.gov]
If the mechanism or circumstances are not consistent with the injury, consider abuse or neglect. Pediatric patients should be examined for additional injuries and bruises. Patients in altered mental states pose a diagnostic challenge. [emedicine.medscape.com]
Treatment
Patients were included in the study when there was disagreement on the suggested treatment method. Thus, 2 comparable groups were identified undergoing nonoperative or operative treatment. [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]
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]
Prognosis The outcome and prognosis of patients with lumbosacral fractures depends on their neurologic condition. [emedicine.medscape.com]
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]
Epidemiology of Vertebral Fractures. J Clin Densitom. Jan-Mar 2016;19(1):8-22. Kevin Phan, Prashanth J Rao, Ralph J Mobbs. [danielebarnabei.it]
Riggs, B.L., Melton L.J. 3rd, "The worldwide problem of osteoporosis: insights afforded by epidemiology," Bone, 1995, 17(5 Suppl): p. 505S-511S. Melton L.J. 3rd., "Epidemiology of spinal osteoporosis," Spine, 1997;22:2S-11S. [spine-health.com]
Pathophysiology
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]
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]
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
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]
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]
This is more serious and may require immediate treatment to prevent or relieve pressure on the spinal cord or nerves. [backandneck.about.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]