Treatment FAQ

what is the treatment for a fractured vertebrae

by Deonte Kuhlman Published 3 years ago Updated 2 years ago
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How long does it take to recover from broken vertebrae?

How doctors treat broken vertebrae depends on the type of injury, the cause, its location, and many other factors. Treatment can range from conservative treatment — e.g., bracing — to complex surgery to stabilize the vertebrae and protect the spinal cord from additional damage. Determining a Treatment Plan for a Broken Vertebrae

What happens if a broken bone goes untreated?

Dec 01, 2008 · The bone-building drug teriparatide (Forteo), given by injection, increases bone mineral density and lowers vertebral fracture risk. Procedures for treating vertebral fractures. Two minimally invasive procedures — vertebroplasty and kyphoplasty — involve the injection of a medical cement to stabilize compressed vertebrae.

How do you repair broken vertebrae?

Mar 25, 2020 · Treatment for spinal fractures will depend on the location and type of fracture as well as other the amount of neurologic compression. Minor fractures can be treated with cervical bracing. More complex fractures or fractures with spinal cord compression may require traction, surgery, or some combination of the above.

What fracture in vertebrae is subjected to extreme stresses?

Treatment of vertebral compression fractures. A balloon kyphoplasty, a tiny balloon is inflated inside the fractured vertebra first to restore its height. The cement is then injected into the expanded space to ensure the bone does not collapse again. Both procedures are performed under X-ray guidance.

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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.

Can fractured vertebrae heal on their own?

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. However, sometimes the pain can persist if the crushed bone fails to heal adequately.

How long does it take to recover from fractured vertebrae?

Vertebral fractures usually take about three months to fully heal.

How do you heal a fractured vertebrae?

The majority of fractures heal with pain medication, reduction in activity, medications to stabilize bone density, and a good back brace to minimize motion during the healing process. Most people return to their everyday activities. Some may need further treatment, such as surgery.Nov 21, 2021

Is walking good for a fractured vertebrae?

Low impact activities, such as walking or tai chi, are good for your heart, and a healthy circulatory system can increase blood flow to the fracture and help your bones heal faster. It's also essential to avoid bed rest to minimize your chances of developing blood clots or deep vein thrombosis in your legs.

How painful is a fractured vertebrae?

If the entire vertebral column breaks, it results in a burst fracture. 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).

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.Apr 4, 2022

How do you sit with a fractured vertebrae?

“Walk tall” and keep the normal curves in your spine. For sitting, choose a straight-backed chair with arms that offers firm but comfortable support. Avoid soft overstuffed chairs or sofas that cause you to “sink” into them.

Is a fractured vertebrae the same as a broken back?

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.Apr 4, 2018

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 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 does my back hurt so bad?

Pain can become chronic as back muscles work harder to accommodate changes in the spine. A cane or walker may be needed, and riding in a car for more than a few minutes may become unbearable. Anatomy of a vertebral fracture.

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.

How does kyphosis affect the body?

Caused by a number of factors, including degenerative changes in joints, disks, and bones, kyphosis can profoundly affect appearance, mobility, and health. The spine becomes progressively more misaligned. The upper body is pitched forward and rounded.

What is the purpose of MRI before surgery?

Before either procedure, MRI is usually performed to determine if the patient is likely to benefit. A good candidate is one whose MRI shows the presence of bone edema, or fluid, which is associated with recent fracture. If bone edema is absent, that implies the fracture has healed and is not what's causing the pain.

How long does it take for a back brace to heal?

Healing can take up to three months.

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 ...

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.

Is spinal surgery non surgical?

For most patients, non-surgical treatment is appropriate. Rehabilitation is an essential part to the treatment plan once the spinal fracture has healed. Rehabilitation allows patients to reduce pain and minimize disability with a hopeful return to their functional level before the injury. Spine Surgery →.

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 a fractured vertebrae?

Fractured Vertebrae. Fractured vertebrae occur when one or more of the actual spinal bones break or crack. The vertebral components can fracture just like any other bone in the body. The most common areas which suffer fractures are the various processes on the dorsal side of the vertebral structure. Fractures can occur in the spinous process ...

What causes vertebrae to break?

Trauma can cause vertebrae to break. Car accidents and falls are the most common forms of trauma leading to fractured vertebrae. Metastatic cancer can weaken the spine and cause vertebral fracture. Certain congenital or developmental conditions might predispose vertebrae to break more easily than in a typical spinal anatomy.

What is the best treatment for a fractured back?

Dietary supplements, such as calcium, will be given to promote bone healing. A back brace might be used to limit spinal motion in the affected area. Physical therapy will be used to rehabilitate the region once the bone has healed. Back surgery is sometimes required to correct a serious fracture or multiple fractures.

Can a vertebral fracture cause back pain?

Many vertebral fractures do not produce any back pain symptoms. This is especially true for compression fractures caused by osteoporosis. However, other fractures are symptomatic and may enact any of the following expressions: Pain can be localized or radiating and the affected region will be sore to the touch.

Is a vertebral fracture serious?

Most vertebral fractures are not overly serious. It sounds very bad to have a broken bone in your spine, but usually the break will heal all by itself. Of course, in cases of serious trauma, multiple levels of vertebral fracture can cause very serious health effects.

What is bone cement used for?

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.

Does vertebroplasty help with pain?

The cement hardens, stabilizing the fractures and supporting your spine. For people with severe, disabling pain caused by a compression fracture, vertebroplasty can relieve pain, increase mobility and reduce the use of pain medication.

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

Spinal fractures that do not require surgery can take 6–12 weeks to heal. Recovery after back surgery can take longer. During the recovery period, a person may need to wear a back brace and follow an exercise program.

What happens when the front of the vertebra breaks and loses height?

The bones do not usually move out of place. Compression fractures are common in people who have health conditions that weaken the bone, such as osteoporosis or cancer.

What are the parts of the spine?

Scientists divide the spine into three parts: 1 the cervical spine runs from the base of the brain to the top of the shoulders 2 the thoracic spine is the mid-back 3 the lumbar spine is the lower back

How long does it take for a back to heal?

In most cases, doctors will recommend the person wear a back brace. This will keep the spine supported while the vertebrae heal. Healing can take 6–12 weeks. Usually, the person will also need to follow an individualized exercise program designed to help them build up their activity and motion slowly.

Where do most spinal fractures occur?

Most spinal fractures occur in the thoracic or lumbar spine. Doctors may divide spinal fractures into mechanism types, such as flexion, extension, and rotation. However, not all spinal fractures fit neatly into each subdivision. Generally, the types of fractures include:

What is an axial burst fracture?

Axial burst fracture s: These occur when the vertebra loses height at the front and back. Such fractures commonly occur when someone lands on their feet after falling from a height. Burst fractures can also cause spinal fragments to enter the spinal canal.

Can a spinal fracture cause back pain?

The pain might be moderate or severe. Sometimes, a spinal fracture can also damage the spinal cord. This can lead to a variety of outcomes, which may include bladder or bowel dysfunction.

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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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