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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]
Causes can be bone fragments from a vertebral fracture, a tumor, abscess, ruptured intervertebral disc or other lesion. When acute it can cause a medical emergency independent of its cause, and require swift diagnosis and treatment to prevent long-term disability due to irreversible spinal cord injury.
When the gap between the bone ends is less than 0.01 mm, and interfragmentary strain is less than 2%, contact healing can occur. In this case, cutting cones, which consists of osteoclasts, form across the fracture lines, generating cavities at a rate of 50–100 μm/day.
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]
Exercises that enhance back strength may also be used to prevent back injuries. Back exercises include the prone push-ups/press-ups, upper back extension, transverse abdominis bracing, and floor bridges. If pain is present in the back, it can mean that the stabilization muscles of the back are weak and a person needs to train the trunk musculature.
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]
unstable spinal fracture-dislocation at the thoracolumbar junction: Thoracic Spine Fractures and Dislocations at eMedicine: Hume fracture: A.C. Hume: olecranon fracture with anterior dislocation of radial head: Ronald McRae, Maxx Esser. Practical Fracture Treatment 5th edition, page 187. Elsevier Health Sciences, 2008.
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 elements; Holdsworth fracture – an unstable fracture dislocation of the ...