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T12 Compression fracture

Exit forum ID Forum Discussion T12 Compression fracture

This topic contains 1 reply, has 2 voices, and was last updated by   Carl Nottoli, DC April 3, 2019 at 8:30 am.

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  • #6185

    Brandon Cohen DC, CSCS
    Participant

      75 y/o Male
      Location: mid to lower lumbar spine
      Provocative: most things
      Palliative: advil

      In interest of time. We got some imaging and he has a new stable t12 compression fracture, 70-80% loss in height. No neuro deficit. He has no primary care physician, and went to two urgent care facilities before coming to see me.

      Injury occurred just over 2 weeks ago during a workout in which he “overextended” his lumbar spine while doing curls, heard a couple loud thumps, dropped the weights and crawled around for a little bit.

      I need some direction here. This is not a case I want to manage, but would like to give some appropriate instruction as to where he might seek someone who will manage it for him. Under normal circumstances, I would send him back to his primary with his images and dx. My initial thought is to just send him back to urgent care, would this be better managed through an ortho? This is not my sweet spot, so other than recommending rest and load management, I’m not ordering any braces or making further recommendations.

      Thanks,

      #6206

      Carl Nottoli, DC
      Participant

        Send him to the orthopedic with images and dx workup. If it’s stable he likely won’t need the urgent care as they already failed him 2x prior.

        Also instructions of zero lifting, slouching, or any exercise.

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