Spinal Fracture |Overview
Spinal Fracture |Diagnosis & Treatments
How is a spinal fracture diagnosed?
Your child's physician will make a diagnosis with physical examination and diagnostic tests. During the examination the physician obtains a complete medical history of your child and asks how the injury occurred.
Diagnostic procedures include:
- X-rays:a diagnostic test, which uses invisible electromagnetic energy,beams to produce images of internal tissues, bones, and organs onto film.This test is used to measure and evaluate the curve.
- Computerized tomography scan(also called a CT or CAT scan): a diagnostic imaging procedure that usesa combination of x-rays and computer technology to produce cross-sectional images (often called "slices"),both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, includingthe bones, muscles, fat, and organs. CT scans are more detailed than general x-rays and may help the doctordetermine what type offractureyour child has.
- Magnetic resonance imaging(MRI): a diagnostic procedure that uses a combination of large magnets,radiofrequencies, and a computer to produce detailed images of organs and structures within the body. Thistest is done to rule out any associated abnormalities
Overall goal of spinal fracture treatments
The goal of spinal fracture treatment is the restoration of normal length and alignment of the vertebrae, and avoidance of motion between the fracture fragments. Specific treatment for a fracture will be determined by your child's physician based on:
- your child's age, overall health, and medical history
- extent of the fracture
- your child's tolerance for specific medications, procedures, or therapies
- expectations for the course of the fracture
- your opinion or preference
Treatment options for spinal fractures
Treatment at Boston Children's Hospital may include some combination of the following:
- Brace: immobilizes the injured area to promote bone alignment and healing to protect the injured area frommotion or use. Bracing helps reduce acute pain by immobilizing the fracture and helps reduce the eventual lossof height and in angulation from the fracture. Immobilization of a cervical spine compression
- Fracturesusually involve the use of arigid collar.
- Medication(for pain control)
- Reduction: involves realignment of the fractured bone. This can be done through an incision made into the减少骨折网站(打开)或外部摩尼pulation without an incision (closed reduction)
- Traction: the application of a force to stretch certain parts of the body in a specific direction. Traction consistsof pulleys, strings, weights, and a metal frame attached over or on the bed. The purpose of traction is to stretchthe muscles and tendons around the broken bone to allow the bone ends to align and heal.
- Surgery: required to put certain types of broken bones back into place. Occasionally, internal fixation (metalrods or pins located inside the bone) or external fixation devices (metal rods or pins located outside of the body)are used to hold the bone fragments in place to allow alignment and healing.
Long-term outlook for a spinal fracture
With proper immobilization and rehabilitation including physical therapy and exercise, most children can expect to make a full recovery from a spinal fracture.