Thoracic burst fracture: Difference between revisions
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==Background== | ==Background== | ||
*Unstable | *Unstable (usually) | ||
*Mechanism: axial loading with flexion compromising anterior and middle column | |||
*Retropulsion of bone causes damage to the spinal canal and neurologic deficits that often cause stable neurologic deterioration. | |||
*Can occur with or without injury to posterior elements (posterior involvement increases risk for neuro deficits) | *Can occur with or without injury to posterior elements (posterior involvement increases risk for neuro deficits) | ||
*Be certain not to mistakenly call a burst fracture a wedge fracture | *Be certain not to mistakenly call a burst fracture a wedge fracture | ||
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==Management== | ==Management== | ||
*Consult Orthopedics or Neurosurgery (Institution dependent) | |||
*Depending on neurologic symptoms and features of the fracture- can be managed nonoperatively | |||
==Disposition== | ==Disposition== | ||
Revision as of 12:26, 11 July 2017
Background
- Unstable (usually)
- Mechanism: axial loading with flexion compromising anterior and middle column
- Retropulsion of bone causes damage to the spinal canal and neurologic deficits that often cause stable neurologic deterioration.
- Can occur with or without injury to posterior elements (posterior involvement increases risk for neuro deficits)
- Be certain not to mistakenly call a burst fracture a wedge fracture
Clinical Features
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Workup
- Obtain CT if unsure (vs. wedge)
Management
- Consult Orthopedics or Neurosurgery (Institution dependent)
- Depending on neurologic symptoms and features of the fracture- can be managed nonoperatively