burstfraktur

A burst fracture is a type of spinal fracture where a vertebral body is crushed anteriorly and posteriorly, often caused by significant axial load. This type of fracture typically involves multiple fragments and can lead to retropulsion of bone fragments into the spinal canal. The mechanism of injury often involves a fall from a height or a severe impact, such as in a motor vehicle accident. Symptoms can vary depending on the severity of the fracture and whether there is neurological compromise. These may include severe back pain, loss of sensation, weakness, or paralysis. Diagnosis is usually made through imaging studies such as X-rays, CT scans, and MRI, which help to assess the extent of the fracture and any involvement of the spinal canal. Treatment strategies depend on the stability of the fracture and the presence of neurological deficits. Nonsurgical management may be considered for stable fractures without neurological compromise, often involving bracing and physical therapy. Surgical intervention is typically indicated for unstable fractures, those with significant spinal canal compromise, or progressive neurological deficits, and may involve decompression and stabilization of the affected vertebrae.