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A compression fracture is a collapse of a vertebra. It may be due to trauma or due to a weakening of the vertebra (compare with burst fracture ). This weakening is seen in patients with osteoporosis or osteogenesis imperfecta , lytic lesions from metastatic or primary tumors , [ 1 ] or infection. [ 2 ]
In the first months after an injury, people commonly prioritize other aspects of rehabilitation over sexual matters, but in the long term, adjustment to life with SCI necessitates addressing sexuality. [43] Although physical, psychological and emotional factors militate to reduce the frequency of sex after injury, it increases after time. [15]
Spinal cord compression is a form of myelopathy in which the spinal cord is compressed. Causes can be bone fragments from a vertebral fracture, a tumor , abscess , ruptured intervertebral disc or other lesion.
The part of the spinal cord that was damaged corresponds to the spinal nerves at that level and below. Injuries can be cervical 1–8 (C1–C8), thoracic 1–12 (T1–T12), lumbar 1–5 (L1–L5), [9] or sacral (S1–S5). [10] A person's level of injury is defined as the lowest level of full sensation and function. [11]
Burst fracture – in which a vertebra breaks from a high-energy axial load; Compression fracture – a collapse of a vertebra, often resulting in the form of a wedge-shape due to larger compression anteriorly; Chance fracture – compression injury to the anterior portion of a vertebral body with concomitant distraction injury to posterior ...
Thorough physical examinations are required, as 5 to 15% of trauma patients have fractures that initially go undiagnosed. [25] The most frequent injuries of the thoracolumbar region are to the conus medullaris and the cauda equina, particularly between T12 and L2. [13] Of these two syndromes, CES is the more common. [13]
The fracture is often unstable. [1] Treatment may be conservative with the use of a brace or via surgery. [1] The fracture is currently rare. [7] It was first described by G. Q. Chance, a radiologist from Manchester, UK, in 1948. [3] [13] The fracture was more common in the 1950s and 1960s before shoulder harnesses became common. [3] [5]
Avascular necrosis of a vertebral body after a vertebral compression fracture is called Kümmel's disease. [ 20 ] Pathology of avascular necrosis, with a photograph of a cross-section of the involved bone at top left.