Compression Fractures
The most common types of fractures affecting the low back are compression fractures
which usually result from a fall. They can be diagnosed with an x-ray. With most
compression fractures, bed rest, physical therapy and conservative medical care
is effective. However, there is a small chance that the compression fracture could
be caused by a secondary medical condition. Usually your physician will give you
a thorough neurological and physical exam in order to rule out osteoporosis or
malignancy.
Burst
Fractures
Burst fractures usually occur through a violent compressive load resulting in
failure of both the anterior and middle columns of the vertebrae. In this case
vertebral height is significantly decreased. This fracture is considered unstable
and requires immediate stabilization of the body and medical attention.
Flexion/Compression Fracture
Flexion and compression fractures frequently occur at the T1 and L1 levels.
The amount of anterior column failure depends on the amount of compressive force.
Usually there is some loss of vertebral height with this injury, but as long
as the middle and posterior columns are intact, this fracture is considered
stable.
Flexion/Distraction Fracture
This type of fracture is also known as a chance fracture, and is often caused
by seat belts in cars. In this fracture, all three columns of the vertebral
body can fail and there may be injury to bone, ligaments and discs. An interior
subluxation is often encountered. This fracture is considered unstable and required
immediate stabilization of the body and medical attention.
Compression/Torsion/Translational Fractures
Usually coupled together with or without flexion. Compression effects can occur
on the lateral margins of the vertebral body while torsional and translational
forces may affect the body or disc and ligament structures.


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| Published: September 29, 2006 |
Updated: December 20, 2006 |
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