Treatment FAQ

what is the treatment for a cracked vertebrae

by Gertrude Quigley DDS Published 3 years ago Updated 2 years ago
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Medical Treatment
Most fractures are treated with immobilization in a brace or corset for up to 12 weeks. Bracing helps to reduce pain and prevent deformity.

How do you repair broken vertebrae?

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What do doctors do for broken vertebrae?

Treatment can range from conservative treatment — e.g., bracing — to complex surgery to stabilize the vertebrae and protect the spinal cord from additional damage. When someone with suspected broken vertebrae comes into the emergency department, doctors go to work to determine the damage done and to put a treatment plan in place.

How long does a fractured vertebra take to heal?

The answer to this question is yes, a Fractured Vertebra can heal on its own. However, this process takes quite a long time of upwards of six months. During these six months, the patient needs to completely rest the spine and is not allowed to do any strenuous activities, bend, lift, or twist.

Will my compression fracture heal on its own?

In fact, spinal compression fractures are the most common type of osteoporotic fractures. Forty percent of all women will have at least one by the time they are 80 years old. These vertebral fractures can permanently alter the shape and strength of the spine. The fractures usually heal on their own and the pain goes away.

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How do they fix a cracked vertebrae?

In vertebroplasty, bone cement is injected into fractured vertebrae to stabilize the spine and relieve pain. Vertebroplasty is an outpatient procedure for stabilizing compression fractures in the spine. Bone cement is injected into back bones (vertebrae) that have cracked or broken, often because of osteoporosis.

How long does it take to heal from a cracked vertebrae?

A spinal fracture takes between six and 12 weeks to heal. During the healing process, spinal bones don't return to their normal shape. They heal in their new compressed shape. This can lead to height loss and curvature of the spine.

Can you walk with a fractured vertebrae?

Depending on how severe your injury is, you may experience pain, difficulty walking, or be unable to move your arms or legs (paralysis). Many fractures heal with conservative treatment; however severe fractures may require surgery to realign the bones.

How do you recover from a fractured vertebrae?

If you have a broken bone in the spine, it will take several weeks or more to heal. You probably won't need surgery, but you will need to exercise and get rest. During the first week after a fracture, you will need more rest and less activity in order to heal. Soon you will be able to rest less and become more active.

How serious is a fractured vertebrae?

Minor fractures of the spine can be healed with rest and medication, however, more severe fractures might require surgery to realign the bones. If left untreated, spinal fractures can lead to permanent spinal cord injury, nerve damage and paralysis.

How do you sleep with a fractured vertebrae?

Sleep on your back with a pillow under your knees. This will decrease pressure on your back. You may also sleep on your side with 1 or both of your knees bent and a pillow between them. It may also be helpful to sleep on your stomach with a pillow under you at waist level.

How long does a fractured vertebrae hurt?

The pain from an osteoporotic spinal fracture typically lasts about four to six weeks as the bone heals, after which most patients report that the more severe pain has subsided and has turned into more of a chronic, achy pain concentrated in the area of the back where the fracture occurred.

Is a fractured vertebrae the same as a broken back?

Overview. A “broken back” is another term to describe a spinal fracture — a break in one or more vertebrae, the 33 bones that form your backbone and protect your spinal cord. A broken back injury can be worrying, but it doesn't necessarily mean that there's damage to the spinal cord.

How long does it take for a compression fracture to stop hurting?

Pain from a spinal compression fracture allowed to heal naturally can last as long as three months. But the pain usually improves significantly in a matter of days or weeks. Pain management may include analgesic pain medicines, bed rest, back bracing, and physical activity.

Can you walk with a compression fracture in your back?

Compression fracture symptoms range from mild to severe. Some people may not have symptoms. Their provider may discover the fracture when they do an X-ray for another condition. But many people are unable to stand or walk without pain.

Is ice good for fractured vertebrae?

Management of Vertebral Compression Fractures Apply ice for the first week. A good rule of thumb is to place the ice in a bag, wrap the bag with a towel, and then apply the ice for 15-20 minutes every hour. After the first week, either ice or heat may be applied. Apply the one that makes the injury feel better.

What happens if a compression fracture goes untreated?

If left untreated, the fractured vertebra can eventually collapse causing pain, limited mobility, and deformity. These fractures are most common in the thoracic spine, which is below the upper body and centered in the middle of the back.

How long does it take for a fractured vertebrae to heal?

Osteoporosis makes bones brittle and fragile, increasing the possibility of compression fractures and cracked vertebrae. These cracked bones often heal on their own within three months.

What are some ways to relieve back pain?

The good news is that there are several surgical procedures that can help relieve the pain. Kyphoplasty, vertebroplasty and spinal fusion surgery are some options to consider.

What is the most extensive spinal fusion surgery?

Spinal fusion surgery is the most extensive of these three surgeries and is recommended only in serious cases. Your doctor will recommend more conservative approaches first. This surgery uses bone grafts from your pelvis to help speed along new bone growth.

Can a broken back cause pain?

Even if you have bones that are not completely broken, a crack or fracture in your back can still cause significant pain. Scottsdale pain management experts at Integrated Pain Consultants have many treatment options – many which are non-surgical – that can help you find relief. Don’t let pain control your life.

How to diagnose vertebral fracture?

Vertebral fractures are diagnosed by an x-ray in the respective location of the spine – neck, mid back or low back. Following the x-ray your spinal specialist will generally order a CT scan which is an effective way visualize any changes in the bony structure.

What is a spinal fracture?

Spinal fractures or a dislocation of one or more vertebrae in a spine caused by trauma is considered a serious orthopedic injury. The majority of these fractures occur as a result from a high velocity accident and can occur in the neck (cervical spine), mid back (thoracic spine) or low back (lumbar spine). High velocity accidents are associated ...

What happens if you fracture your cervical spine?

A cervical fracture can cause bone fragments to pinch and damage the spinal cord or surrounding nerves which branch off of the spinal cord. Damage or injury to the spinal cord can result in paralysis or death.

Why do people get spinal fractures?

Compression Fracture: People can develop spinal fractures unrelated to trauma. Fractures that occur during daily activities are most commonly due to weakened bones from osteoporosis, tumors, or other medical conditions and rarely have spinal cord or nerve involvement.

What is the shape of a vertebrae?

The shape of the vertebrae is usually described as a “wedge”. It can be painful or asymptomatic and is usually a stable fracture. Axial Burst Fracture: This is usually caused from a fall from a significant height, landing on the feet.

What is the best treatment for a swollen thigh?

A combination of muscle relaxers, pain medication, Tylenol, or bracing may be used to help control symptoms. Following this initial period, patients generally notice a significant improvement in symptoms.

Can a spinal fracture cause numbness?

Most vertebral fractures, regardless of where they are located are associated with mild to severe pain (depending on the location of the spinal fracture) which worsens with any type of movement. In more severe cases, the fracture may cause nerve symptoms including numbness, tingling, muscle spasms, weakness, bowel/bladder problems or even paralysis.

What is the treatment for a vertebral burst fracture?

What Are the Treatment Options for Crushed Vertebrae? Treatment for a vertebral burst fracture due to trauma ranges from a back brace or body cast for stable fractures to open surgery for unstable fractures , according to SpineUniverse.

What is the procedure for inserting bone cement into damaged vertebrae?

Vertebroplasty and kyphoplasty are procedures for inserting bone cement into damaged vertebrae. More invasive open surgery for severe compression fractures uses techniques similar to those for burst fractures. ADVERTISEMENT.

What is the procedure for putting cement in vertebrae?

If other treatments are ineffective in relieving pain, weakness or numbness, surgery may be required. Vertebroplasty and kyphoplasty are procedures for inserting bone cement into damaged vertebrae.

What tests are needed to check for a fracture?

Your healthcare provider will do a physical exam, and check your spine. You may need any of the following tests: X-rays, a CT scan, or MRI of your spine may be taken. You may be given contrast liquid before the pictures are taken to help a fracture show up better in pictures.

How long do you need to be on bed rest for a fracture?

You may need any of the following, depending on how severe the fracture is: Bed rest may be needed for a mild fracture. A back brace may be needed for 8 to 12 weeks. A brace may decrease your pain, and help your vertebrae heal. A cane or walker can help you keep your balance when you walk.

How to reduce pain from a VCF?

They can decrease the pain of a VCF caused by osteoporosis, and decrease your risk for another fracture. Physical or occupational therapy may be recommended. A physical therapist teaches you exercises to help improve movement and strength, and to decrease pain.

Can a VCF cause back pain?

You may not have any signs and symptoms with a mild VCF. You may have any of the following with a more severe fracture: Sudden, severe, and sharp back pain. Back pain that gets worse when you stand or walk. Muscle spasms in your back. Problems urinating or having bowel movements. Sudden weakness in your arms or legs.

What are the consequences of spinal fractures?

What are the Consequences of Untreated Spinal Fractures? 1 Reduced mobility, loss of balance, and increased risk of falls 2 Reduced ability to take care of yourself 3 Reduced activity and more bedrest 4 Decreased appetite and sleep disorders 5 Chronic back pain and fatigue 6 Decreased quality of life 7 Feelings of isolation and sadness 8 Increased risk of future fracture

What is a stable fracture?

a. Stable fractures do not cause nerve problems or spinal deformities. It can usually carry the body weight well enough to be called stable.#N#b. Unstable fractures are more serious because they can cause serious nerve damage or paralysis. Spinal deformities are possible.#N#c. Minor fracture means a part of the back side of the vertebra is broken. These include the spinous processes and facet joints which are not as crucial for spinal column stability.#N#d. Major fractures is a result of damage or fracture to the vertebral body, the pedicles, or the lamina. The vertebral body is responsible for weight bearing and the distribution of force during movement with the vertebrae lining up correctly. If the vertebrae do not line up symmetrically or the pedicles or lamina are broken, there is an increased possibility of nerve damage and instability.#N#Classification of fractures can be further defined by location such as the thoracic, lumbar or thoracolumbar regions of the spine. It also divides the spine fracture into the back, middle or front regions.

What is the treatment for a vertebral compression fracture?

Treatment for painful fractures starts with over-the-counter analgesics such as acetaminophen (Tylenol), aspirin, or ibuprofen (Advil or Motrin).

What is the procedure to stabilize a compressed vertebrae?

Two minimally invasive procedures — vertebroplasty and kyphoplasty — involve the injection of a medical cement to stabilize compressed vertebrae. Introduced in the United States in the 1990s, they've become increasingly available for the treatment of fracture pain that doesn't respond to more conservative therapy.

What happens when a vertebral fracture occurs?

When a vertebral fracture occurs, the vertebral body (the front portion of the vertebra) collapses on itself. One or two fractures can cause a loss of height; if several vertebrae collapse, it can result in a marked curvature of the spinal column.

How common are vertebral fractures?

Vertebral fractures are twice as common as hip fractures; about 25% of postmenopausal women have had at least one. Unlike hip fractures, which almost always result from a fall, vertebral fractures usually involve little or no trauma.

What are the effects of multiple vertebral fractures?

The cumulative effect of multiple fractures can be devastating. Chronic pain, disability, and difficulty engaging in normal activities of daily life can lead to isolation, problems with relationships, and emotional difficulties — including depression , which develops in 40% of people with vertebral fractures.

What are the consequences of a vertebral fracture?

It doesn't snap like a twig, or like a broken leg or arm. Instead, it collapses, the way a paper cup is crushed when you step on it. The common term for this kind of break is compression fracture.

Why is it important to select the right patients for a compression fracture?

Selecting the right patients helps avoid complications. For example, someone with a compression fracture greater than 70% of the height of the vertebral body isn't a good candidate for either procedure, says Dr. Pan, because there's too little room for the needle and cement, and leaking becomes more likely.

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Risks

  • Even minor falls or trauma can produce a spine fracture. Many of these injuries will never require surgery, but major fractures can result in serious long-term problems unless treated promptly and properly. Spine fractures range from painful compression fractures, often seen after minor trau…
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Treatment

  • Osteoporosis, or weakening of the bones, can lead to painful vertebral compression fractures. Until recently the only treatment was bracing and narcotic medications which frequently lead to ongoing pain and progressive deformity. The spinal surgeons at Cleveland Clinic Center for Spine Health can now, using a new technology, re-expand the vertebral body (kyphoplasty) and augme…
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Causes

  • When an external force is applied to the spine, such as from a fall, the forces may exceed the ability of the bone within the vertebral column to support the load. This may cause the front part of the vertebral body to crush, resulting in a compression fracture. If the entire vertebral column breaks, it results in a burst fracture.
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Results

  • If the compression is mild, you will experience only mild pain and minimal deformity. If the compression is severe, affecting the spinal cord or nerve roots, you will experience severe pain and a hunched forward deformity (kyphosis).
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Services

  • Call 216.444.BACK (2225) or toll free 800.223.2273, ext. 42225, Monday through Friday, 8:00 a.m. to 5:00 p.m. (Eastern Standard Time).
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Research

  • Researchers at the Cleveland Clinic are involved in ongoing studies that investigate new drugs and treatment approaches for managing disease. Participants in these clinical trials can play a more active role in their own health care, gain access to new research treatments before they are widely available, and help others by contributing to medical research. There are currently more than 1,7…
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Advantages

  • A convenient way to obtain a second opinion is e-Cleveland Clinic, a contemporary adaptation of The Cleveland Clinics 80-year tradition as a nationally designated referral center. An easy-to-use, secure, from-home second opinion service, e-Cleveland Clinic utilizes sophisticated Internet technology to make the skills of some of our specialists available to patients and their physician…
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