Discusión entre pares / 47 year old man has H/O fall 1 month back, C/O continuous back pain since then. No neurological deficit.

Indian-Orthopaedic Research-Group

Suman Kumar

47 year old man has H/O fall 1 month back, C/O continuous back pain since then. No neurological deficit. Please discuss the management.

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  Sinan Obut Mrı??

  14 de septiembre a la(s) 9:09 · Me gusta
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  Sinan Obut Toracolomber junctıon regıon .. So ıt must be fıxed to prevent collapse at further age.. Vertebral body collapsed more than % 50 heıght.. But fırst .. Posterıor longıtudal lıgaman must be assesed..

  14 de septiembre a la(s) 9:11 · Me gusta · 1
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  Efe Aras Well even it is seemed to be as a compression fracture, i might say that from the open pedicle distance in AP view, it is probably a fracture AO A3.x , so with the burst component. I would go for conservative,probably aggressive with pain management for the first 3 months and another control in 3 months with X-ray.I have to remind you that evidence in these kind of fractures are lacking. 1 month old fracture is already in a healing process, so surgery is not that suitable or at least patient will not benefit as much as he can.

  14 de septiembre a la(s) 9:12 · Me gusta · 1
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  Mohsen Hussein MRI

  14 de septiembre a la(s) 9:17 · Me gusta
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  Mukul Gupta follow up for another month with exercises

  14 de septiembre a la(s) 9:19 · Me gusta · 1
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  Golam Mahmud Suhash Conservative

  14 de septiembre a la(s) 9:30 · Me gusta
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  Ahmedknawyy Ortho CT scan

  14 de septiembre a la(s) 9:52 · Me gusta
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  Srinivas Daravathu MRI

  14 de septiembre a la(s) 11:45 · Me gusta
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  Srinivas Daravathu No surgery without radiculopathy

  14 de septiembre a la(s) 11:46 · Me gusta
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  Srinivas Daravathu He needs more rest and mobilisation only with brace

  14 de septiembre a la(s) 11:47 · Me gusta
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  Vishal Gupta Do MRI to see PLC.apply tlic classification. And manage accordingly

  14 de septiembre a la(s) 11:47 · Me gusta · 1
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  Alok Shrivastava Conservative will do

  14 de septiembre a la(s) 12:00 · Me gusta
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  Pavneesh Lohan MRI

  14 de septiembre a la(s) 12:13 · Me gusta
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  Rakesh Kumar Rest for 3 wks will suffice

  14 de septiembre a la(s) 13:16 · Me gusta
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  Samareswar Datta Treatment should be planned according to socioeconomic status and available facility. however strict bed rest for at least 6 weeks followed by brace and supportive treatment and follow up....

  14 de septiembre a la(s) 13:19 · Me gusta · 2
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  Mohamed Kamal

  نحتنتهححد

  14 de septiembre a la(s) 15:46 · Me gusta
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  Amit Sehgal Is there any role for kyphoplasty with cementing to maintained height of vt.???

  14 de septiembre a la(s) 22:42 · Me gusta
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  Prabodh Kotwal Tailors brace with axillary support ,and inv., and treat the cause of #. I think its because of osteoporosis.

  15 de septiembre a la(s) 1:19 · Me gusta
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  Arvind Jain Extension exercises , vigorously done after five days gives unimaginable results
  Brace always harms. with exercises patient is up and about on day 16
  Where as on brace , will give give slow return normalcy in months.

  15 de septiembre a la(s) 13:18 · Editado · Me gusta · 1