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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]
Symptoms suggestive of cord compression are back pain, a dermatome of increased sensation, paralysis of limbs below the level of compression, decreased sensation below the level of compression, urinary and fecal incontinence and/or urinary retention. Lhermitte's sign (intermittent shooting electrical sensation) and hyperreflexia may be present.
Traumatic SCI can result in contusion, compression, or stretch injury. [5] It is a major risk of many types of vertebral fracture. [70] Pre-existing asymptomatic congenital anomalies can cause major neurological deficits, such as hemiparesis, to result from otherwise minor trauma. [71]
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 ...
A flexion-distraction fracture of T10 and fracture of T9 due to a seatbelt during an MVC. On plain X-ray, a Chance fracture may be suspected if two spinous processes are excessively far apart. [10] A CT scan of the chest, abdomen, and pelvis is recommended as part of the diagnostic work-up to detect any potential abdominal injuries.
The burst fracture is categorized by the "severity of the deformity, the severity of (spinal) canal compromise, the degree of loss of vertebral body height, and the degree of neurologic deficit." [2] Burst fractures are considered more severe than compression fractures because long-term neurological damage can follow. The neurologic deficits ...
The thoracic spinal nerve 11 (T11) is a spinal nerve of the thoracic segment. [1] It originates from the spinal column from below the thoracic vertebra 11 (T11).
Maigne, R. Low back pain of thoracolumbar origin (T11-T12-L1). In: Maigne, R., Second Edition: Diagnosis and Treatment of Pain of Vertebral Origin. Taylor and Francis Group, 2006:289–98. McCall IW, Park WH, O’Brien JP. Induced pain referral from posterior lumbar elements in normal subjects. Spine 1979;4441–6.