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Advanced Spinal Fracture Treatment in Bhubaneswar

A spinal fracture occurs when one or more of the 33 vertebrae in the spinal column break or crack. These injuries, often called "broken back" injuries, vary in severity and type. Millions suffer vertebral compression fractures annually, with women being twice as likely as men to experience them. Traumatic spine fractures, often caused by accidents or falls, account for 160,000 cases yearly. Common fracture types include compression, burst, flexion-distraction, and fracture-dislocations. Osteoporosis is a leading cause, particularly in older people, with the thoracolumbar junction (T11-L2) being the most vulnerable area. Early diagnosis and treatment are critical, as one in four women with vertebral fractures remains undiagnosed.

Spinal Fracture Types

Spinal fractures are classified based on the injury’s location, mechanism, and stability:

  • Compression Fractures: Often linked to osteoporosis, these affect the front part of the vertebra, causing it to collapse. They are stable and rarely require surgery.
  • Burst Fractures: Caused by high-impact trauma, these fractures shatter the vertebra into multiple pieces. About 90% occur between T9 and L5.
  • Chance (Flexion-Distraction) Fractures: Common in car accidents, these result from sudden forward jerking, creating horizontal breaks.
  • Fracture-Dislocations: The most severe type, involving broken vertebrae that shift out of alignment, risking spinal cord damage.

Fractures are also categorised as stable (spine remains aligned) or unstable (vertebrae move out of place). Treatment depends on fracture type, stability, and neurological involvement.

Best Spinal Fracture Treatment Doctors in India

Causes of Spinal Fractures

Spinal fractures arise from two main scenarios:

  • High-energy Trauma: Motor vehicle accidents (50% of cases in younger patients), falls, sports injuries, or physical assaults
  • Low-energy Trauma: Osteoporosis weakens bones, making routine activities like coughing or bending risky. 

Risk Factors:

  • Age- people over 65 are more prone to age-related bone degeneration and spine fracture.
  • Females, especially postmenopausal females, are at higher risk  
  • Ethnicity- White/Asian descent
  • Medical conditions like cancer (myeloma, lymphoma), hyperthyroidism, or long-term steroid use
  • Lifestyle factors- Smoking, vitamin D deficiency, and low body weight

Symptoms of Spinal Fractures

Spinal fracture symptoms range from mild to severe:

  • Localised Pain: Sharp, worsening with movement, lifting, or bending.
  • Physical Changes: Height loss, stooped posture, swelling, or muscle spasms.
  • Neurological Issues: Numbness, tingling, or limb weakness. Severe cases may involve bladder/bowel dysfunction.
  • Trauma Symptoms: Breathing difficulties, paralysis, or balance issues after accidents.

Osteoporosis-related fractures may develop silently, detected only through imaging. Chronic back pain often persists even after healing.

Diagnostic Tests for Spinal Fractures

Accurate diagnosis involves a combination of tools:

  • X-rays: Initial imaging to detect fractures and alignment issues.
  • CT Scans: Provide 3D spine views, identifying fractures quickly—ideal for emergencies.
  • MRI: Evaluates soft tissues and nerves and distinguishes old vs. new fractures.
  • Bone Scans: Assess healing activity in fractures.
  • Neurological Exams: Test reflexes, muscle strength, and sensation to check for nerve damage.

CT scans are preferred for detailed fracture analysis, while MRI helps assess nerve involvement.

Treatment Options

Treatment depends on fracture severity and neurological impact:

  • Non-surgical Treatments:
    • Medications: NSAIDs or short-term opioids for pain.
    • Bracing: Rigid braces stabilise the spine for up to 6 months.
    • Physical Therapy: Focuses on core strengthening, posture correction, and mobility.
  • Surgical Treatments: Doctors recommend surgical intervention for severe pain, nerve damage, or spinal instability
    • Vertebroplasty/Kyphoplasty: Minimally invasive procedures injecting cement into fractured vertebrae. Kyphoplasty uses a balloon to restore height.
    • Spinal Fusion: Connects vertebrae with screws/rods for unstable fractures.
    • Decompression Surgery: Relieves pressure on nerves or the spinal cord.

Pre-surgery Preparation

Preparation ensures safety and optimal outcomes:

  • Medical Evaluation: Blood tests, EKGs, and specialist clearances.
  • Imaging: CT/MRI scans guide surgical planning.
  • Lifestyle Adjustments: Quit smoking, manage weight, and arrange post-surgery support.
  • Medication Management: Adjust blood thinners and diabetes medications.

During Spinal Fracture Surgery

Surgical teams follow strict protocols:

  • Anaesthesia Induction: Administration of general anaesthesia 
  • Positioning: The surgical team positions the patient to optimise access to the spine.
  • Incision: The surgeon makes a precise incision over the fractured vertebra and carefully retracts surrounding muscles to access the spine.
  • Monitoring: The surgical team tracks vital signs, nerve function, and blood loss throughout the procedure.
  • Stabilisation: Depending on the fracture type, the surgeon may use screws, rods, or plates to stabilise the spine and restore alignment.
  • Closure: Incision closure using sutures or staples
  • Duration: 1–6 hours, depending on complexity.

Post-surgery Recovery

Recovery focuses on healing and restoring function:

  • Hospital Stay: 1–5 days for monitoring and initial rehab.
  • Pain Management: Medications and ice/heat therapy.
  • Physical Therapy: Begins within 24 hours to improve mobility.
  • Activity Guidelines:
    • Avoid bending/lifting for 6 weeks.
    • Resume driving in 2–6 weeks.
    • Return to work in 4–8 weeks (desk jobs).

Follow-up appointments track healing progress through X-rays and exams.

Why Choose CARE Hospitals?

CARE Hospitals in Bhubaneswar excels in spinal fracture care with:

  • Expert Team: Board-certified surgeons, neurospecialists, and rehab therapists.
  • Advanced Technology: 3D imaging, minimally invasive tools, and spinal navigation systems.
  • Comprehensive Care: Personalised rehab plans and infection-controlled facilities
  • Accessibility: 24/7 emergency services and insurance support
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Spinal Fracture Treatment Hospitals in India

Frequently Asked Questions

CARE Hospitals stand out for spine fracture treatment in Bhubaneswar. These facilities offer advanced diagnostic technologies and comprehensive spine care services.

Vertebroplasty and kyphoplasty remain the primary surgical options. Kyphoplasty uses a balloon to restore vertebral height before cement injection, whilst vertebroplasty directly injects cement into fractured vertebrae.

Most patients achieve significant recovery within 6-12 weeks post-surgery. The success rate reaches 75-90% for pain relief and improved mobility.

Post-surgery care involves:

  • Regular wound inspection and dressing changes
  • Gradual physical activity increase
  • Proper medication management
  • Scheduled follow-up appointments

Recovery typically spans 2-3 months for non-surgical cases. Surgical patients might need 6 weeks for initial recovery plus additional months for complete healing.

Potential complications include infection (less than 1%), hardware failure, nerve damage, and blood clots.

Patients should rest for 24-48 hours post-discharge. Walking twice daily for 30 minutes is recommended, and avoiding sitting or standing longer than 30 minutes is recommended initially.

Sitting requires careful attention to posture. Use chairs with proper lumbar support and maintain feet flat on the floor. Avoid soft couches and prolonged sitting sessions.

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