HomeAnswersSpine Surgeryspine fractureDo I require any surgery for L1 vertebra fracture?

Got L1 fracture. How long will it take to heal?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At August 31, 2020
Reviewed AtJune 15, 2023

Patient's 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 fit? Will it create any complications in the future? Is any surgery required? I am really worried. Please suggest.

Answered by Dr. Yada Bhanutej

Hello,

Welcome to icliniq.com.

I read your query. It is almost three and a half 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 which includes, is there any neurological deficit due to the fracture fragments and posterior structure? and height of the collapse of the vertebra. According to your CT scam films, the height of collapse is not more than 50 percent, so according to this criteria it is conservative management (no surgery) but the status of neurological injury is not yet determined, it needs an MRI (magnetic resonance imaging) of the whole spine. And can you please send me the CT (computerized tomography) scan report, so that the intactness of posterior structure can be known. So if your CT scan films does not show any damage in the posterior structures and MRI does not show any compression on cord or nerve roots, it does not need surgery. And follow up x-rays are taken, maybe at the end of one month to see for progression of the deformity.

Investigations to be done

MRI of the whole spine.

Preventive measures

Please wear your spine brace always when you are in an upright position i.e. sitting, walking.

Regarding follow up

Follow up with CT scan report.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Yada Bhanutej

Orthopedician and Traumatology

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