There are several different kinds of vertebral fractures relating to the neck area. Clinically, injuries to the neck are grouped into one of two categories – fractures without neurological involvement (stable fractures) and fractures with neurological involvement (unstable fractures).
Fractures without neurological involvement are usually associated with localised pain, restriction of movement and a postural alteration to the spinal column. Depending on the severity of the fracture, kyphosis and scoliosis can follow as a result of the distortion.
X-rays are usually sufficient for establishing a reliable diagnosis in these cases, although sometimes CT or MRI scans are required to remove any doubt. Treatment for these stable fractures is conservative, with most patients wearing a semi-rigid brace for 2-3 months before starting an appropriate rehabilitation programme.
Unstable fractures are always treated surgically due to the associated risks of nerve damage. Rehabilitation following these kinds of surgical interventions are handled on a case-by-case basis.
Spinal stabilisation is a surgical technique used to fix the spine. It is performed in an attempt to reduce back pain with leg symptoms as a result of pinching of a nerve from a disc herniation. It may be indicated in cases of vertebral misalignment such as spondylolisthesis and scoliosis where there is a threat of permanent nerve injury. The procedure is usually performed under general anesthesia and involves decompression of the ‘pinched nerve’, fixation of a spinous process with facet screws in order to stabilise the spine and facilitate fusion.
Physiotherapy and rehabilitation may help prevent the need for surgery. Our doctors at Isokinetic have experience in managing cases of back pain and disc herniation. Once our Isokinetic doctor has made the diagnosis and if indicated these individually tailored sessions may be prescribed. Our well-trained physiotherapy and rehabilitation specialists will support you throughout your sessions to reach your maximum functional recovery possible.
In cases where physiotherapy and rehabilitative treatment alone cannot guarantee a good recovery, a surgical procedure may be indicated. We have a very good working relationship with spinal surgical teams and can request a surgical opinion if the doctor feels this is the best treatment option. Our team at Isokinetic will ensure you are fully informed or your progress.