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What Does The Following X Ray Report Indicate?
Question: Hello Doctor, I am XXXX from XXXXXXX XXXXXXX My mother (age - 55 years) fell and x-ray report shows following information
D12 vertebral body shows mild reduced height in anterior part.
Vertebral height and disk spaces elsewhere appear maintained
All vertebral bodies are well aligned
All pedicles well visualized and appear normal
No evidence of endplate erosion or sclerosis seen
Posterior elements including spinous process appear normal
Paraspinal soft tissue appears normal
Impression:
F/S/O Anterior wedge collapse of D12 vertebral body, otherwise unremarkable study of thoraco-lumber spine.
I need your view on this case, the doctor who we consulted did not prescribe braces.
D12 vertebral body shows mild reduced height in anterior part.
Vertebral height and disk spaces elsewhere appear maintained
All vertebral bodies are well aligned
All pedicles well visualized and appear normal
No evidence of endplate erosion or sclerosis seen
Posterior elements including spinous process appear normal
Paraspinal soft tissue appears normal
Impression:
F/S/O Anterior wedge collapse of D12 vertebral body, otherwise unremarkable study of thoraco-lumber spine.
I need your view on this case, the doctor who we consulted did not prescribe braces.
Brief Answer:
Mild wedge collapse may do without bracing.
Detailed Answer:
Hi XXXXXXX
Thanks for being here on Healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist and I'd surely like to help you.
Your mother is now 55 years of age and by this age,many of the XXXXXXX women are osteoporotic. Almost 50% of the XXXXXXX women after the age of 70 years suffer from an osteoporotic wedge collapse.
I have gone through your mother's X-ray report.
It is apparent that your mother is having no significant symptoms like pain,limb weakness or sensory loss in the limbs.In this clinical background, mild anterior wedging of D12 vertebral body does not mandates a brace and patient can do with decreased physical activity for around 3 months, however if bracing is put on,it will be an extra precaution only as it will keep the spine in the extended position, thus easing off the pressure on the anterior part of the vertebral bodies(including D12 vertebral body which is already damaged anteriorly).Taking precautions for about 3 months will give the time to heal the vertebral compression fracture of D12(as it heals in about 3 months).
Hope,I have answered your query.If you have some follow-up questions,you are welcome,else you can close the thread and rate it.
Dr.Ajay Panwar,
MD,DM(Neurology)
Mild wedge collapse may do without bracing.
Detailed Answer:
Hi XXXXXXX
Thanks for being here on Healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist and I'd surely like to help you.
Your mother is now 55 years of age and by this age,many of the XXXXXXX women are osteoporotic. Almost 50% of the XXXXXXX women after the age of 70 years suffer from an osteoporotic wedge collapse.
I have gone through your mother's X-ray report.
It is apparent that your mother is having no significant symptoms like pain,limb weakness or sensory loss in the limbs.In this clinical background, mild anterior wedging of D12 vertebral body does not mandates a brace and patient can do with decreased physical activity for around 3 months, however if bracing is put on,it will be an extra precaution only as it will keep the spine in the extended position, thus easing off the pressure on the anterior part of the vertebral bodies(including D12 vertebral body which is already damaged anteriorly).Taking precautions for about 3 months will give the time to heal the vertebral compression fracture of D12(as it heals in about 3 months).
Hope,I have answered your query.If you have some follow-up questions,you are welcome,else you can close the thread and rate it.
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you so much for the detailed answer.
She is having moderate pain and local doctor advised her to do regular side change (every 2 hours or so) and try to be on bed all the time, should we continue this or you suggest otherwise?
She is not able to pass motion lying so would it be safe for her to get sit on custom made chair to pass motion (generally once in a day) or does she need to be completely immobilized?
Is there any medication you would prescribe in addition to calcium tablets?
Best Regards,
XXXX
She is having moderate pain and local doctor advised her to do regular side change (every 2 hours or so) and try to be on bed all the time, should we continue this or you suggest otherwise?
She is not able to pass motion lying so would it be safe for her to get sit on custom made chair to pass motion (generally once in a day) or does she need to be completely immobilized?
Is there any medication you would prescribe in addition to calcium tablets?
Best Regards,
XXXX
Brief Answer:
I usually allow me this much mobilization to my patients,but with a corset.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
Yes,what he has advised her is must to avoid any pressure sores with complete immobilization.If she is having pain, along with calcium she can be given muscle relaxants like etoricoxib and anti-neuralgics like pregabalin(under your physician's supervision).
I usually allow this much mobilization to my patients, albeit with a thoracic support corset designed for them by the physiotherapist,if they are having symptoms.I suggest you visit a good physiotherapist and get a thoracic support corset for your mother,to be on safer side(This much mobilization in a day should not be a problem then).
Hope I have answered your queries.If you still have questions,I shall be glad to answer them,else please close the thread-rate it and write a review.You can also ask me a direct query in future at my HCM link-
http://doctor.healthcaremagic.com/doctors/dr-ajay-panwar/69273
Dr.Ajay Panwar
MD,DM(Neurology)
I usually allow me this much mobilization to my patients,but with a corset.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
Yes,what he has advised her is must to avoid any pressure sores with complete immobilization.If she is having pain, along with calcium she can be given muscle relaxants like etoricoxib and anti-neuralgics like pregabalin(under your physician's supervision).
I usually allow this much mobilization to my patients, albeit with a thoracic support corset designed for them by the physiotherapist,if they are having symptoms.I suggest you visit a good physiotherapist and get a thoracic support corset for your mother,to be on safer side(This much mobilization in a day should not be a problem then).
Hope I have answered your queries.If you still have questions,I shall be glad to answer them,else please close the thread-rate it and write a review.You can also ask me a direct query in future at my HCM link-
http://doctor.healthcaremagic.com/doctors/dr-ajay-panwar/69273
Dr.Ajay Panwar
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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