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A compression fracture is a collapse of a vertebra. It may be due to trauma or due to a weakening of the vertebra (compare with burst fracture ). This weakening is seen in patients with osteoporosis or osteogenesis imperfecta , lytic lesions from metastatic or primary tumors , [ 1 ] or infection. [ 2 ]
The severity of such symptoms tend to progress over time and occur more frequently amongst older patients. [5] CSM symptoms can be unilateral or bilateral, depending on the lateral regions where compression of the spinal cord and nerve roots occur. [9] If left untreated, CSM can lead to long-term or permanent damage to the spinal cord and nerve ...
The symptoms of a vertebral collapse ("compression fracture") are sudden back pain, often with radicular pain (shooting pain due to nerve root compression) and rarely with spinal cord compression or cauda equina syndrome. Multiple vertebral fractures lead to a stooped posture, loss of height, and chronic pain with resultant reduction in ...
Weight loss, to relieve symptoms and slow the progression of the stenosis; Physical therapy to support self-care. [37] Also may give instructions on stretching and strength exercises that may lead to a decrease in pain and other symptoms. Lumbar epidural steroid or anesthetic injections have low quality evidence to support their use. [36] [38]
The predominant symptoms of NC involve one or both legs and usually presents as some combination of tingling, cramping discomfort, pain, numbness, or weakness in the lower back, calves, glutes, and thighs and is precipitated by walking and prolonged standing. However, the symptoms vary depending on the severity and cause of the condition.
Although the majority of vertebral fractures go undiagnosed, the annual cost related to treatment of vertebral fractures is estimated to be $1 billion in the U.S. [13] Symptomatic disc herniations are most common between ages 30–50 years. [26] 95 percent of herniated discs diagnosed in patients 25–55 years are located in the lumbar spine. [26]
Neurogenic claudication can occur in cases of severe lumbar spinal stenosis and presents with symptoms of pain in the lower back, buttock or leg that is worsened by standing and relieved by sitting. Vertebral compression fractures occur in four percent of patients presenting with lower back pain. [26]
The autonomic dysfunction is caused by compression of the brainstem, which controls breathing and circulation. [ 57 ] Low CSF volume can cause the cerebellar tonsil position to descend, which can be mistaken for Chiari malformation ; however when the CSF leak is repaired the tonsil position often returns to normal (as seen in upright MRI) in ...
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