Compression fracture of spine (vertebral bodies)
Compression fracture of the spine - this pathology is quite common among contemporary mankind and caused primarily by automobile accidents, falls from heights and diving into a shallow body of water for human growth, osteoporosis, bones, etc.
The mechanism of formation of compression fractures of vertebral bodies with associated whiplash sprains of the cervical spine.
Distinguish between complicated and uncomplicated compression fractures of the spine. In no case complicated with vertebral compression fractures at the victim is not what any neurological symptoms, except for local pain or a feeling diskomforat.
This pain arises from irritation of nerve endings in the sensitive area of compression fracture of spine, in the course of the disease, they will disappear until the full recovery of the patient.
Compression fracture of the vertebral bodies of the cervical spine with compression of the spinal cord.
These compression fractures of the spine often occur when falling from a low altitude or in elderly people with osteoporosis, when only a small effort to flattened vertebral body height.
Often, these compression fractures of the spine are not diagnosed immediately, so as not to cause great inconvenience to the patient himself, and accidentally revealed X-ray examination on another occasion.
Vertebral body compression fracture of the thoracic spine.
Compression fracture of the thoracic spine.
Diagnosis of vertebral compression fracture begins with neurological and orthopedic examination by a doctor. According to its results may be appointed in addition the following diagnostic procedures:
The procedure for measuring bone density with suspected osteoporosis bone called densitometry. Densitometry performed on a special measuring equipment.
Visualized on MRI in the diagnosis of vertebral compression fracture of the vertebral bodies with a wedge of deformation.
Dual energy CT can suppress calcium information, making it possible to differentiate between an old and a new compression fracture of the vertebra (patient with a history of small cell lung cancer of the right lung, it was possible to identify a signal increase of the bone marrow edema).
Bedsores - are consequences of vertebral compression fracture with compression of the spinal cord. Bedsores are the result of long-term immobilized patients lying on their backs. Bedsores always require prolonged treatment, as impaired neurotrophic function below the level of spinal cord injury, which slows down the healing process in areas of necrosis.
Complicated by compression fractures of the spine with compression of the spinal cord are accompanied by local pain in addition to the fracture site along the spine as the presence of neurological disorders. These include motor and sensory impairments of conducting and controlling functions of the spinal cord, which are in particularly difficult cases, lead to severe disability with the formation of non-healing ulcers and even death of the patient.
Neurotrophic bedsores - are consequences narsheniya innervation after compression fracture spine with compression of the spinal cord.
Operative treatment of compression fractures of thoracic and lumbar vertebrae from L5 to Th5 can restore the height of the vertebral body and form a void in cancellous bone. These operations are called kyphoplasty and vertebroplasty and conducted at the treatment of compression fracture of the vertebral body.
Conservative treatment of vertebral compression fractures include::
- drug therapy (NSAIDs, analgesics, hormones)
- therapeutic blockade - the injection of drugs into the cavity of the channel
- manual therapy (muscle, joint and radicular technique)
- physiotherapy (UHF, SMC, etc.)
- spinal traction (contraindicated in the acute stage)
- medical gymnastics and swimming (after primary treatment)
- surgical treatment
Wearing extensor (extension) corset (lumbar back brace) in the treatment of vertebral compression fractures.
Wearing extensor (extension device) corset (lumbar back brace) with compression fractures of the spine contributes to unfolding of space compression fracture of the vertebral body and creates an additional fixation of the vertebral column.
Wearing extensor (extension device) corset (lumbar back brace) in the treatment of vertebral compression fractures.
Terms wearing extensor (extension device) corset (lumbar back brace) on average can range from 1.5 to 2 months from the date of spine fracture.
In order to reduce pain in vertebral compression fractures is recommended intranasal spray "Miakaltsik (Calcitonin).
If you have any questions about the diagnosis or treatment of vertebral compression fractures, you can specify them with our neurosurgeon or neurologist, call the clinic on the phone: (499) 130–08–09
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