HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Hi, I Was Involved In A Car Accident Yesterday, I

Posted on Sun, 5 May 2019

Question: Hi, I was involved in a car accident yesterday, I have pain in my back. I have L1 compression fracture with mildly retropulsed fragment. What can be done for me, I mean using the safest possible solution. I also have osteoporosis. Attached CT scans. Sincerely, Kal

Answered by Dr. Dr. Erion Spaho (1 hour later)

Brief Answer:
Conservative treatment could be a good possibility.

Detailed Answer:
Hello and welcome to "Ask a Doctor " service.

I have read your query and here is my advice.

Mild to moderate L1 compression fractures may be treated conservatively (i.e. bed rest and symptomatic treatment for 6 weeks) if there is no instability and no neurological deficit.

If there is instability and significant spinal cord stenosis, the best treatment is surgical stabilization and decompression.

Since there is osteoporosis and no neurological signs I think you could be treated conservatively, however, it is necessary to see the CT scan in order to give you a comprehensive answer.

The attached CT scan is not available yet.

Please retry to upload it.

Hope you found the answer helpful.

Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Erion Spaho (1 hour later)

Hi, Thank you very much for your kind and much appreciated help, here are the pics:

Follow up: Dr. Dr. Erion Spaho (3 minutes later)

Pics:

Follow up: Dr. Dr. Erion Spaho (2 minutes later)

I don't know what's the problem with uploading pics here!

Follow up: Dr. Dr. Erion Spaho (5 minutes later)

I just uploaded the CT SCANS: https://ufile.io/7cqvqffo Thank you.

Answered by Dr. Dr. Erion Spaho (8 hours later)

Brief Answer:
I think conservative treatment is possible.

Detailed Answer:
Welcome back.

I examined the CT scan images and, in my opinion, your case can be treated conservatively with bed rest for 6 weeks.

This because the fracture is less than 30% and the retropulsed fragment is small.

There seems to be no fracture of posterior elements, so, the stability of the column is not affected severely.

Hope I helped you.

Feel free to discuss with me if you have further questions.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Erion Spaho (1 hour later)

Hi, Thank you very much for your kind and much appreciated help, I'm staying currently in a local hospital in my county and the doctor here is pushing for a surgery which I don't prefer as their skill here isn't that good! Is there any professional medical centers that you recommend which I can travel to have an in person physical examination for my case?

Follow up: Dr. Dr. Erion Spaho (13 minutes later)

Hi, Here's the medical report.

Answered by Dr. Dr. Erion Spaho (22 hours later)

Brief Answer:
Read below.

Detailed Answer:
Hello again.

I see that you are in Kuwait, Dar Al Shifa Hospital, for example, offers treatment for spinal trauma.

You can be transported safely anywhere in your area laying in a litter.

The medical report uploaded is the interpretation of the CT scan findings.

Hope this helps.

Take care.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Kampana