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LAST UPDATED: 08 Nov, 2022
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DISH (Diffuse Idiopathic Skeletal Hyperostosis) DISH, also known as Forestier disease, is a common disorder of unknown etiology characterized by enthesopathy of the spine and extremities, that usually presents with back pain and spinal stiffness. Diagnosis can be confirmed with radiographs of the cervical and thoracic spine.
https://stagingbullets.orthobullets.com/spine/2045/dish-diffuse-idiopathic-skeletal-hyperostosisAtlas Fractures & Transverse Ligament Injuries are traumatic injuries usually caused by high-energy trauma with axial loading in young patients (Jefferson Fracture ) or low-energy falls in elderly. Due to the capacious nature of the spinal canal at this level these injuries usually present with neck pain without neurological deficits.
https://branch2.orthobullets.com/spine/2015/atlas-fractures-and-transverse-ligament-injuriesRadiographs of the entire spine reveal a L2 compression fracture with 30% loss of vertebral body height loss and 15 degrees of local kyphosis. What would be the appropriate management for this patient?
Anatomy and Function of the Spine Compression fractures of the spine usually occur at the bottom part of the thoracic spine (T11 and T12) and the first vertebra of the lumbar spine (L1). Compression fractures of the spine generally occur from too much pressure on the vertebral body.
Anteroposterior and lateral radiographs of an L1 osteoporotic wedge compression fracture. Patients with compression fractures that do not compromise the spinal canal can be treated by means of a kyphoplasty. The use of a percutaneous balloon allows for expansion of the fractured vertebrae.
summary Osteoporotic Vertebral Compression Fractures are very common fragility fractures of the spine that affect up to 50% of people over 80 years old. Diagnosis can be made with lateral radiographs. Determining the acuity of a fracture requires an MRI or bones scan.
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