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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 ]
Traumatic SCI can result in contusion, compression, or stretch injury. [5] It is a major risk of many types of vertebral fracture. [70] Pre-existing asymptomatic congenital anomalies can cause major neurological deficits, such as hemiparesis, to result from otherwise minor trauma. [71]
The burst fracture is categorized by the "severity of the deformity, the severity of (spinal) canal compromise, the degree of loss of vertebral body height, and the degree of neurologic deficit." [2] Burst fractures are considered more severe than compression fractures because long-term neurological damage can follow. The neurologic deficits ...
Burst fracture – in which a vertebra breaks from a high-energy axial load; Compression fracture – a collapse of a vertebra, often resulting in the form of a wedge-shape due to larger compression anteriorly; Chance fracture – compression injury to the anterior portion of a vertebral body with concomitant distraction injury to posterior ...
Moderate to severe spinal stenosis at the levels of L3/4 and L4/5 [further explanation needed] The diagnosis of spinal stenosis involves a complete evaluation of the spine. The process usually begins with a medical history and physical examination. X-ray and MRI scans are typically used to determine the extent and location of the nerve compression.
Symptoms are most commonly bilateral and symmetrical, but they may be unilateral; leg pain is usually more troubling than back pain. [ 6 ] Pseudoclaudication, now generally referred to as neurogenic claudication , typically worsens with standing or walking, and improves with sitting, and is often related to posture and lumbar extension.
Here, symptoms can be felt in the lower back, buttocks, thigh, anal/genital region (via the perineal nerve), and may radiate into the foot and/or toe. The sciatic nerve is the most commonly affected nerve, causing symptoms of sciatica.
The compression of the spinal nerve roots that control movements and sensations in the lower body subsequently causes the symptoms of NC. [5] The causes of LSS are most commonly acquired and include degenerative changes such as degenerative disc disease and spinal osteoarthritis .
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