HomeAnswersNeurologyspine fractureIs there a specific treatment for compressive spine fracture?

What is the specific treatment for compressive spine fracture?

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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.

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Published At June 4, 2016
Reviewed AtJuly 28, 2023

Patient's Query

Hello doctor,

I have a case of a 47 year old man, who went through a car accident. The scan showed a compressive fracture of T12 wth predominance into the canal 7 mm. The patient was told to stay in bed with a plastic corsage around his waist to prevent sudden movements. Around two to three months later the patient was able to sit and stand, but he did not remove the plastic corsage. Then five months later, which is two weeks ago, the patient could not move his right leg and he could barely feel his right arm. He did a scan and the result as follows. Multiple subcortical and periventricular hypo dense lesions on both hemispheres. Calcified arteriosclerotic plates on arteria vertebralis dexter. No distinguishable lesions on posterior cranial fossa. Free basal cisterns. Free paranasal sinuses. Overall, it says that the multiple ischemic lesions lead towards vasculitis. I must include that the patient suffers from heart pressure and diabetes. Can you lead me to a specific path of treatment? How dangerous is this diagnosis?

Hi, Welcome to icliniq.com.I have read your question with care and understood the concern. The inability to move the right leg could be due to compressive fracture T12 or periventricular hypodense lesions. Barely feeling right arm is due to periventricular hypodense lesions or some undiagnosed problem in the cervical spine. Multiple subcortical and periventricular hypodense lesions on both hemispheres are due to multiple small infarcts. This is due to long standing diabetes and hypertension. So, the specific path of treatment would be to do a nerve conduction study to determine whether the inability to move right leg is due to compression in cervical level or distal. If that is due to compression, thensurgical decompressionis needed. Management of multi infarct dementia by control of blood sugar, control of blood pressure and drugs that improve the nerve functions like Piracetam and Citicoline.

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

Dr. J. Mariano Anto Bruno Mascarenhas
Dr. J. Mariano Anto Bruno Mascarenhas

Neurosurgery

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