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MRI Showing Fracture Of Neck Vertebrae After A Fall. Surgery Suggested

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Posted on Wed, 3 Oct 2012
Question: No history of previous illness
Age – 71 years approximate
Description of injury – He was trying to climb a ladder and the ladder fractured leading to fall from a height approx 5 feet.
Supporting documents – MRI images
First diagnosis – Fracture of neck vertebrae with suggested surgical management
Symptoms – Normal speech, hand and leg movements. No signs of mental impairment.

Thanks,
XXXXXXX
doctor
Answered by Dr. Praveen K Nath (4 hours later)
Dear XXXXXXX,

I have gone through the detailed history & all MRI images.

As per MRI images there appears to be a C5/6 fracture with mild dislocation with buckling of PLL with mild thecal compression.

As per your history patient seems to be neurologically intact.

May I suggest following measures:

1. Initial medical management of cervical injury should be given i.e. I/v methylprednisolone, antacids, analgesics, etc.

2. Cervical collar for initial immobilization.

3. NO SITTING / NO STANDING

4. Bed rest

5. Surgical management with spinal stabilisation procedures will be of benefit for early mobilisation

6. Supportive treatment


I hope this answers your queries. Please feel free to contact me anytime for any further development.

Thanks

Dr XXXXXXX k XXXXXXX XXXXXXX consultant neurosurgeon
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Praveen K Nath

Neurologist, Surgical

Practicing since :1996

Answered : 147 Questions

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MRI Showing Fracture Of Neck Vertebrae After A Fall. Surgery Suggested

Dear XXXXXXX,

I have gone through the detailed history & all MRI images.

As per MRI images there appears to be a C5/6 fracture with mild dislocation with buckling of PLL with mild thecal compression.

As per your history patient seems to be neurologically intact.

May I suggest following measures:

1. Initial medical management of cervical injury should be given i.e. I/v methylprednisolone, antacids, analgesics, etc.

2. Cervical collar for initial immobilization.

3. NO SITTING / NO STANDING

4. Bed rest

5. Surgical management with spinal stabilisation procedures will be of benefit for early mobilisation

6. Supportive treatment


I hope this answers your queries. Please feel free to contact me anytime for any further development.

Thanks

Dr XXXXXXX k XXXXXXX XXXXXXX consultant neurosurgeon