Dissector of back           Vertebrae anatomy   Thoracic spine    Lumbar spine           Vertebral search


Vertebrae short video         More video

Causes/features Diagnosis Management
  • Fall from height with landing in sitting or standing position. It causes compression of thoracolumbar spine.
  • Landing in standing position implicates fracture of calcaneus which must be ruled out.
  • This can also occur if a heavy object falls on patient when in erect position. But the injury to spine is not as severe as above.
Stable
  • Treat with bed rest for about 7-10 days.

Unstable

  • Try to correct and make fracture stable if possible
  • Apply plaster jacket from manubrium sterni to symphysis pubis in minimal extension for 3 months
  • If there is paraplegia, allow body union which may take 6-8 weeks, then mobilize patient.
  • Use surgical intervention in locked dislocation.
  • Use plate and blots to stabilize spine through application to spinous processes.
 

 

 

 

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