Spinal fractures more commonly occur due to road traffic accidents, gunshots, sports injuries, osteoporosis, spine tumors, etc. A vertebral compression fracture is the most common spine fracture. Symptoms include muscle spasms, back pain, neck pain, weakness, paralysis, bowel and bladder weakness, numbness, and tingling sensation. The available treatment procedures include the immobilization of the spine with braces and orthotics, surgery to fuse the fractured spine with plates and screws, vertebroplasty, and kyphoplasty.
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My grandma is on bed rest. Her lower back is red and painful. Please help.
Query: Hi doctor,My grandmother suffered a fall in the bathroom one month back. She is 91 years old now. Following the fall, she developed a vertebral compression fracture. She has been on bed rest for the last few weeks and now developed redness and pain in the lower back area. Kindly advise on treatment ... Read Full »
Answer: Hi, Welcome to icliniq.com. After reviewing your attached picture (attachment removed to protect patient identity), it is a grade 2 bed sore. Prevent further damage by turning the side of the patient every two hours from side to side. This is to be done only after the approval of a spine speci... Read Full »
Kindly explain the difference between spine fusion and fixation surgery.
Query: Hello doctor, What is the difference between spine fusion and fixation surgery? Read Full »
Answer: Hi, Welcome to icliniq.com. The spine fusion means we fuse one mobile segment of the spine. That means we fuse between two vertebral bodies. We put bone graft there and it fuses with time. This is usually done if there is instability at that segment or spinal canal is so narrow that while decompress... Read Full »
Can you go through the reports of my relative's daughter and suggest a treatment plan?
Query: Hello doctor, My relative's daughter, who is 16 years old, met with a car accident. She is admitted to the hospital. Please give your suggestions on her case. She is currently undergoing surgery. The below extract was of her case study. The doctors say that the body below her neck is not moving. ... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I understand the case scenario. The reason behind her low blood pressure and inability to move all four limbs is actually the cervical spinal cord injury. Surgery is risky because of low blood pressure, but it is possible to operate if the anesthetic team is able ... Read Full »
Do fractured vertebrae heal on their own?
Query: Hello doctor, I am a little stressed as I headed a car accident a week ago. I have a fracture in my T2 and T4 vertebrae. Doctor send me home with no brace and asked me to just take it easy. They advised me not to lift heavy weight and it will heal in six weeks. I am feeling good but there is a lit... Read Full »
Answer: Hello, Welcome to iclniq.com. You have mentioned a car accident about a week ago in which you fractured T2 and T4 vertebrae. For any spinal fracture, opinion is based upon: 1) Detailed neurological examination of the patient. 2) x-ray and if needed MRI (magnetic resonance imaging) of the involve... Read Full »
Can lower back pain result in paralysis even after taking treatment?
Query: Hi doctor, I am a 24 year old student. When I was 17 years old, my lower back was injured while playing cricket. That time I was also a little depressed and was taking some tablets. After 15 days, I got typhoid, so I did not care much about the injury at that time. But since then, I have been feelin... Read Full »
Answer: Hello, Welcome to icliniq.com. From the images (attachment removed to protect patient identity) that you have provided, it is possible to see a fracture on the pars (the rod connecting the anterior part of the vertebra and the vertebral body to the posterior elements). The flexion-extension x... Read Full »
I have no feelings in the front half of my leg. Could it be due to my old fracture?
Query: Hello doctor,I was involved in an MVA about a year ago. I ended up breaking my ribs, sternum, pelvis and fracturing my L5-S1 vertebrae. After the accident, I could move my ankles. Even after the surgery, I could move my ankles and I had no pain in my feet or lower legs. About 15 days into recovery, ... Read Full »
Answer: Hello, Welcome to icliniq.com. In the image provided by you (attachment removed to protect patient identity), there is a fracture of the sacral vertebra at the level of the L5-S1 disc. It is important to note that at this level, there are nerves passing through the small foramen between L5 and S1 v... Read Full »
My brother suffers from paraplegia after an accident. Can this be cured?
Query: Hi doctor, My brother met with an accident while riding his bike. His D4 and D5 vertebra got fractured and he is not able to move due to loss of sensation from the upper part of the abdomen. The doctor said that he is suffering from paraplegia due to complete damage to the main spinal cord nerve,... Read Full »
Answer: Hi, Welcome to icliniq.com. No, natural body healing is the only way at present for paraplegia and spinal cord recovery. The only things that we can do are as follows. Surgery is done to give the spinal cord the space to heal and prevent any further damage from the vertebrae. Physiotherapy to mobili... Read Full »
I do not have an improvement in my back pain. Is it a disc problem?
Query: Hello doctor, I am a 35 year old female. About a month ago, I injured my mid-lower back while doing weightlifting. There is one vertebra that feels bruised to the touch, and I have pain in that one spot when I do certain movements, like bending. I also have a lot of muscle tightness and aching thro... Read Full »
Answer: Hello,Welcome to icliniq.com.It is very unusual for a vertebra to be fractured simply by weightlifting unless you are lifting unusually heavy weights.Yes, you can have a disc problem in weightlifting, but it is unlikely to cause tenderness on the surface of the body. You are more likely to get nerv... Read Full »
How to manage L1 compression fracture?
Query: Hi doctor, I have done a CABP1 test and CT abdomen pelvis with contrast for periumbilical pain. Multiple axial CT images of the abdomen and pelvis with IV was done. The contrast was obtained, followed by 2D coronal reformats. And the contrast dose is 100 mL Omnipaque 350. All CT scans at this facili... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. According to your statement, you have recently done a CT (computed tomography) abdomen with pelvis with Contrast, which has revealed an L1 (lumbar spine) compression fracture, and your blood test revealed nothing sign... Read Full »
Do I require any surgery for L1 vertebra fracture?
Query: Hello doctor, I had a fall at home and got fractured in my L1 vertebra. My local doctor is treating me conservatively. I use back brace while walking (maximum five minutes) and doing physiotherapy. As far my work is considered, extensive travel is required. Within how many days, I will get fully f... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query. It is almost 3.5 weeks since the injury. I saw your scan film (attachment removed to protect patient identity). Treatment/management of vertebral fractures depends on two factors mainly. 1. Is there any neurological deficit due to the fracture fr... Read Full »