Spine Fracture Treatment | Dr. Ajay Kothari | Spine Expert at Sancheti Hospital Pune

Spine Fracture Treatment
Spine fractures, also known as vertebral fractures, can occur due to trauma, osteoporosis, or other underlying conditions. The treatment for a spine fracture depends on the severity, location, and cause of the fracture, as well as the overall health of the patient. Here's an overview of the common treatments:
1. Conservative (Non-Surgical) Treatment:
Rest and Activity Modification: Patients are often advised to limit activities that may worsen the fracture. Bed rest may be recommended initially, followed by gradual return to activity.
Bracing: A brace may be used to stabilize the spine, reduce pain, and prevent further injury while the fracture heals. The type of brace depends on the location of the fracture.
Pain Management: Medications such as acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), or stronger pain relievers may be prescribed. In some cases, muscle relaxants are also used.
Physical Therapy: Once the acute pain subsides, physical therapy may be recommended to strengthen the muscles around the spine, improve mobility, and prevent further injury.
Osteoporosis Treatment: If the fracture is due to osteoporosis, medications like bisphosphonates, calcium, and vitamin D supplements may be prescribed to strengthen bones and prevent future fractures.
2. Surgical Treatment:
Surgery may be necessary for severe fractures, especially if there is spinal instability, nerve compression, or deformity.
Vertebroplasty and Kyphoplasty: These minimally invasive procedures involve injecting bone cement into the fractured vertebra to stabilize it and relieve pain. Kyphoplasty also includes inflating a balloon to restore height to the collapsed vertebra before the cement is injected.
Spinal Fusion: In cases where the fracture leads to instability or deformity, spinal fusion may be performed. This surgery involves joining two or more vertebrae together using bone grafts, rods, and screws to stabilize the spine.
Decompression Surgery: If the fracture causes nerve compression, decompression surgery (such as laminectomy or foraminotomy) may be needed to relieve pressure on the spinal cord or nerves.
3. Rehabilitation:
After either conservative or surgical treatment, rehabilitation is essential. This may include physical therapy to improve strength and flexibility, pain management strategies, and education on posture and body mechanics to prevent future injuries.
4. Lifestyle Changes:
Diet: A diet rich in calcium and vitamin D can help strengthen bones.
Exercise: Weight-bearing exercises can improve bone density and overall spine health.
Smoking Cessation: Smoking can negatively impact bone health, so quitting is important for recovery and prevention.
The choice of treatment should be made in consultation with a healthcare provider, who will consider the specific details of the fracture and the patient’s overall health. Regular follow-up is essential to monitor healing and adjust the treatment plan as needed.
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