SPINAL FRACTURES

SPINAL FRACTURES

Breaks or collapses in the vertebrae that comprise the spinal column are referred to as spinal fractures. These fractures may impair neurological function and spinal stability. They may affect the posterior elements, the vertebral body, or both. Spinal fractures can be categorized as stable or unstable based on their severity. Spinal cord or nerve root damage is more likely in cases of unstable fractures.

Spinal Fracture Types

  • Osteoporosis frequently results in compression fractures.
  • High-energy trauma with bone fragments spreading is known as a burst fracture.
  • Flexion-distraction injuries, which are frequently caused by seatbelt injuries
  • Dislocations and fractures are serious and unstable injuries.

Reasons

  • Traffic accidents on roads
  • falls from a height
  • Osteoporosis
  • Sports-related injuries
  • Pathological fractures brought on by infections or tumors

Symptoms

  • Abrupt, excruciating neck or back pain
  • Movement exacerbates pain
  • Spinal deformity
  • Paralysis, weakness, or numbness
  • loss of control over one’s bowels or bladder

Diagnosis

  • X-rays for preliminary evaluation
  • CT scans for the specifics of fractures
  • MRI to assess damage to the spinal cord and ligaments

Treatment

  • Conservative treatment using bracing and bed rest
  • Rehabilitation and pain management
  • Minimally invasive treatments like kyphoplasty or vertebroplasty
  • Surgical stabilization using cages, screws, or rods

1. Traumatic
    2. Osteoporotic

Traumatic Fracture dislocation C5-C6 with cord compression

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Traumatic Burst Fracture C5 with ASIA A

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Traumatic Fracture dislocation C5-C6 with cord compression and L1 burst fracture

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Burst Fracture L1 and L5 with retropulsion and neurological deficits

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Burst Fracture L1 vertebra retropulsion and neurological deficits

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Post op x ray with local kyphosis correction and regain full vertebral height

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21 year girl Burst Fracture L3 with retropulsion and neurological deficits

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Post op x ray with local kyphosis correction and regain full vertebral height

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Minimal invasive spine surgery

Osteoporotic Burst fracture L1

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X ray imaging, CT scan and MRI of dorsolumbar spine showing osteoporotic vertebral compression fracture of more than 50 percent height loss at L1 vertebral body
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Intraoperative C-arm image showing Balloon dilatation by transpedicular jamshedi needle and restoration of height at L1 vertebral body
Final Intraoperative C-arm image showing full restoration of height with PMMA cement filling the void at the L1 vertebral body

Percutaneous Balloon Kyphoplasty

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A 91 year Old active woman with osteoporotic compression underwent balloon kyphoplasty

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A 76 year Old woman with osteoporotic burst fracture and instability fixed with cement augmented screws

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A 72 year Old woman with osteoporotic burst fracture / Parkinsons disease and bed ridden for 1 month
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