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What causes the fracture?
When an external force is applied to the spine, such as from a fall, the forces may exceed the ability of the bone within the vertebral column to support the load. This may cause the front part of the vertebral body to crush, resulting in a compression fracture. If the entire vertebral column breaks, it results in a burst fracture.
If the compression is mild, you will experience only mild pain and minimal deformity. If the compression is severe, affecting the spinal cord or nerve roots, you will experience severe pain and a hunched forward deformity (kyphosis).
Osteoporosis is the most common risk factor for fractures, as the disease causes bones to weaken.
Symptoms of spine fracture-
# Pain at the fracture site.
# Loss of Urine/motion control.
# Numbness in any body part.
#Unable to move part of the body (paralysis)
#Tingling in any body part.
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What are the treatment options?
Medical Treatment
Most fractures are treated with immobilization in a brace or corset for up to 12 weeks. Bracing helps to reduce pain and prevent deformity.
Surgical Treatment
Severe cases may require surgery.
Vertebroplasty is a new surgical procedure that may be used to treat compression fractures. In this procedure, the surgeon inserts a catheter into the compressed vertebra. The catheter is used to inject the fractured vertebrae with bone cement, which hardens, stabilizing the vertebral column. This procedure has been shown to reduce or eliminate fracture pain, enabling a rapid return to mobility and preventing bone loss due to bed rest. However, it does not correct the spinal deformity.Kyphoplasty involves inserting a tube into the vertebral column under X-ray guidance, followed by the insertion of an inflatable bone tamp. A tiny incision is made in the back. Once inflated, the tamp restores the vertebral body back toward its original height, while creating a cavity to be filled with bone cement. The cement seals off cracks and cavities, and prevents the vertebra from re-collapsing. After the cavity is filled, the tube is removed and the incision stitched.
Spine fracture fixation with Decompression:Stabilization can also be achieved by removing broken vertebra and replacing them with a plate, screws, or cage.
How do I prepare for surgery?
Quit smoking if you smoke, exercise on a regular basis to improve your recovery rate, stop taking any non-essential medications and any herbal remedies which may react with anesthetics or other medications and ask your surgeon all the questions you may have.
What happens after surgery?
Generally, an overnight hospital stay is not required for kyphoplasty, unless you have other serious health problems, such as hypertension or a heart condition.
How long is the recovery period after surgery?
Typically, braces are worn for six to 12 weeks after surgery in addition to three to six weeks of physical therapy.
After kyphoplasty, patients are encouraged to resume normal activities as soon as possible, without any restrictions. Your doctor may recommend physical therapy and rehabilitation.
