Search results
Burst fractures require immediate attention and treatment to prevent or minimize injury to the spinal cord. As a result of the impaired mechanical strength following a burst fracture, the spine may develop an abnormal angulation that can lead to pain or further neurological compromise.
- Clinical Presentation
- Pathology
- Mechanism
- Radiographic Features
- Radiology Report
- Differential Diagnosis
They usually present as back pain and or lower limbs neurologic deficits in the clinical scenario of trauma.
Burst fractures most commonly occur at L1 with the majority (~90%) occurring from T9-L5. Two-level burst fractures are much less common than single-level burst fractures 2. Burst fractures involve the posterior wall of the vertebral body can be described as incomplete (one endplate) or complete (both endplates) 5. See: AO spine classification of th...
It is a result of a high-energy compressive injury (axial loading), much like the Jefferson fracture. The intervertebral disc is driven into the vertebral body below. Typically they occur following a fall from height (often landing on feet) or from a motor vehicle accident 2.
General features include 2,5: 1. loss of vertebral height on lateral views: anterior portion is commonly compressed more than the posterior portion of the vertebral body 2. fracture always involves the posterior vertebral body cortex 3. burst vertebral body on axial CT 4. vertical fracture through the posterior elements is usually present in more s...
all patients require a CT to assess the injury and evaluate the extent of the retropulsed fragments which may enter the spinal canal, and a percentage of spinal canal narrowing should be reportedcaution must be taken when referring to stability on the report, as this should be assessed together with the clinical data refother types of compression fracture: posterior vertebral body cortex is intactNov 7, 2021 · Thoracolumbar Burst Fractures are a common high-energy traumatic vertebral fractures caused by flexion of the spine that leads to a compression force through the anterior and middle column of the vertebrae leading to retropulsion of bone into the spinal canal and compression of the neural elements. Diagnosis is made with radiographs of the ...
Mar 14, 2019 · Typically, in a burst fracture that occurs at the junction of the thoracic and lumbar spines paralysis of the legs and loss of control of the bowel and bladder may result. In an incomplete...
Signs of a burst fracture include: Moderate to severe back pain made worse by moving; Numbness, tingling and weakness; Inability to empty the bowel or bladder properly, if the spinal cord is involved; Causes and Risk Factors. Burst fractures are usually the result of a motor vehicle accident or a fall from a great height.
Mar 4, 2016 · A burst fracture is considered unstable if neurologic injury is present, angulation of the spine is greater than 20 degrees, there is subluxation or dislocation of the spine, or there is...
Oct 11, 2021 · A thoracolumbar burst fracture (BF) is a severe type of compression fracture, which is the most common type of traumatic spine fractures. Generally, surgery is the preferred treatment, but whether the optimal approach is either an anterior or a posterior approach remains unclear.
