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A spinal fracture, also called a vertebral fracture or a broken back, is a fracture affecting the vertebrae of the spinal column. Most types of spinal fracture confer a significant risk of spinal cord injury .
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]
Patients with cervical fractures will likely be prescribed medication for pain control. In the long term, physical therapy will be given to build strength in the muscles of the neck to increase stability and better protect the cervical spine. Collars, traction and surgery can be used to immobilize and stabilize the neck after a cervical fracture.
A burst fracture is a type of traumatic spinal injury in which a vertebra breaks from a high-energy axial load (e.g., traffic collisions or falls from a great height or high speed, and some kinds of seizures), with shards of vertebra penetrating surrounding tissues and sometimes the spinal canal. [1]
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[5] [6] A 2018 Cochrane review found no role for vertebroplasty for the treatment of acute or sub-acute osteoporotic vertebral fractures. [7] The subjects in these trials had primarily non-acute fractures and prior to the release of the results they were considered the most ideal people to receive the procedure.
During this surgery, the doctor focuses on the fractured part of the vertebra. They use a metallic device, like a small wire, hook, screw, or rod, to connect the two sides of the broken bone and keep the vertebra stable. This helps the bone stay in place and heal. To further assist the healing process, the surgeon might use a bone graft. [24]
MRI of a fractured and dislocated cervical vertebra (C4) in the neck that is compressing the spinal cord: Specialty: Neurosurgery: Types: Complete, incomplete [1] Diagnostic method: Based on symptoms, medical imaging [1] Treatment: Spinal motion restriction, intravenous fluids, vasopressors [1] Frequency: c. 12,000 annually in the United States [2]
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