Vertebral Fractures Flashcards
1
Q
What is a vertebral fracture?
A
Wedge compression fracture of thoracolumbar spine
Can occur with minimal trauma in patients with osteoporosis
Due to excessive spinal flexion with posterior ligaments remaining in tact causing anterior fractures
2
Q
What are symptoms of vertebral fractures?
A
Marked pain
Pain worse on movement and weight bearing
Pain slowly improves over months
3
Q
What investigations are needed for vertebral fractures?
A
AP and Lateral XR
4
Q
What is the management of vertebral XR?
A
Bed rest for 1-2wks until pain subsides
Conservative
- mobilisation and muscle strengthening exercises
- if >25% anterior height loss then brace for 3 months
Surgical
- Kyphoplasty- cement injected into collapsed vertebra
- indicated if ongoing pain at level of fracture
5
Q
What is a Jeffersons fracture?
A
C1 fracture due to axial compression on skull transmitted to spine
Open mouth XR to diagnose
6
Q
What is Hangmans fracture?
A
C2 fracture due to hyperextension of neck
