According to a recent study by Bailey et al in 2015, treatment of a thoracolumbar burst fracture can include a brace or not with equivalent results. The group utilizing the brace was instructed to wear it at all times, unless in bed, for ten weeks, with a weening out period […]
In the past, recovery from a burst fracture in the thoracolumbar region could include any combination of significant bed rest, surgery, and a brace (orthosis). However, recent treatments have been moving away from these due to the increased costs and risks of surgery and bed rest. In a recent study […]
Hopefully, you will feel better with PT and medical interventions for your sciatica in the first few weeks of PT after the onset of your pain. There is good evidence to support that the higher the level of your fear of movement and pain initially, the better the chance you […]
Studies vary on the prevalence of sciatica annually, however recent reviews of nine large studies found that the injury ranges between two and 34 percent of adults each year.
A burst fracture is a more severe form of compression fracture that typically occurs from a high energy axial load (i.e. car accident, fall from a high height). The vertebral body can be crushed in all directions causing a bursting of fragments which can cause neurologic deficit.
In a recent report by Dines at al, there is a good description of common tennis injuries and why they occur. Tennis has many different movements associated with playing, but frequently there are explosive bursts of energy and there are repeated motions. Over the course of a few months playing […]
Surgical techniques for lumbar spine fusion can be separated into two categories based on amount of tissue disruption. Minimal access surgery is reported to have better short term perioperative results as it utilizes small incisions and minimal muscle disruption. This technique involves use of a tube or sleeve to complete […]
On the surface, with results such as shorter hospital stays, less blood loss, and a lower chance of infection, it would seem that minimal access surgery would be more cost effective than an open spinal surgery. However, the instrumentation required for these techniques is often expensive and can outweigh the […]
Both procedures are used for treatment of long term neck pain, neurological deficits, and radiculopathy stemming from the degenerative changes of the neck. Anterior cervical discectomy and fusion (ACDF), has been the gold standard for years. It involves a surgical procedure where an incision is made in the front of […]
A group of large randomized clinical studies investigated long term outcomes comparing anterior cervical discectomy and fusion (ACDF), to cervical disc replacement (CDR). They looked at measures including perceived neck function, general health, neurologic improvement and avoidance of future secondary surgical needs. All reported improvement in all outcomes with both […]
Ultimately this is up to the treating physician. Recent research has demonstrated that stable benign osteoporotic compression fractures treated without a brace did not result in inferior outcomes in patient disability as compared to soft or rigid-brace treatments.
Yes, as far as thoracolumbar injuries, a burst fracture in this region has been shown to make up 20 per cent of all thoracolumbar injuries.
This important nerve bundle gives sensation and motor supply to the pelvic organs and lower limbs. When injured, persons with CES often have many functional problems with their bladder and/or bowels, experience decreased sensation in their crotch area, and may have sexual dysfunction.
In a study by Seo-Young Kim, MD, et al, they found 1/3rd of the studied subjects with overactive bladders had their highest level of spinal cord injury at or above the 2nd lumbar spine level. Two-thirds of the studied subjects thus had underactive bladders and had their highest level of […]
DISH stands for diffuse idiopathic skeletal hyperostosis. This means there is a presence of ossification of your soft tissue along the front and side portion of your spine in the lower thoracic and upper lumbar region. Usually this occurs between four continuous segments.
We are unable to answer this at this time as further investigation needs to occur through longitudinal studies.
This is a conversation that you first and foremost should be had with your treating physician. They will have the knowledge of what interdisciplinary care is available in your area.
This will vary from program to program. There will likely be an evaluation by a primary physician and an interdisciplinary component that may include physical therapy, social work, and counseling services.
Osteoporosis is a disease in which bones become weak and become more prone to breaking. Compression fractures due to osteoporosis most often occur in the vertebrae and are caused when too much pressure is placed on a weakened vertebrae and the front of the vertebrae cracks and loses height
Spinal stenosis is the narrowing of the spinal canal which can lead to pressure on the spinal cord or nerve roots, resulting in pain in the back and legs. This condition is usually caused by changes related to aging in the disc, lumbar vertebra, and supporting structures. Surgery to relieve […]