What are the causes of thoracolumbar fractures?
Causes of thoracolumbar fracture can be significant trauma due to fall from height and road traffic accidents. However they can also occur with out any significant trauma when the bones are weakened due to osteoporosis or any other pathology like infection and tumorsWhy functional fractures are common?
At junctional levels, there is a sudden change in the biomechanics of the spine. The immobile thoracic kyphosis is suddenly changed to mobile lumbar lordosis. This causes maximum concentration of stresses at junctional level, thus fractures are, more common at that site.What are effects of thoracolumbar fractures?
Thoraco lumbar fractures have a wide spectrum of severity depending on the degree of collapse of the vertebra. However they may be a cause of kyphotic deformity at thoracolumbar level, which may cause chronic low backache due to strain on the lower back. If fracture fragments injure the nerve roots or spinal cord, it may cause paralysisIs paralysis seen in every case?
Paralysis is not seen in every case. In fact majority of thoracolumbar fractures are not associated with neuro deficits. However, if the spinal cord or nerve roots are damaged at the time of trauma, that may lead to paralysis.Whether every fracture requires surgery?
Not all fractures require surgery. The treatment decision depends on the severity of fracture and the amount of collapse. Surgery is indicated in cases of
What are non-operative measures for treating thoracolumbar fractures?
Unstable fracture patterns
No operative measure range from bed rest to ambulation with braces. This should be supported with medications like analgesics to relieve pain, calcium and vitamin supplements, bisphosphonates and hormones like calcitonin and teriperatide.What are options for paraplegic patients?
One has to understand that paraplegia does not mean that every thing is lost. These patients can lead a productive life with good rehabilitation and can become productive members of society.Whether stem cells have any role in treating traumatic paraplegia?
There is clearly no role of stem cells in treatment of spinal cord injuries. Such therapies are only marketing gimmicks and have no scientific base attached to them.