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Information & Treatment
About the treatment
Symptoms and Pain Localisation
A vertebral fracture usually causes intense, localized pain in the spine, often in the thoracic or lumbar region.
The pain may be aggravated by movement, and there may be limitations in mobility.
If the fracture compresses the nerves or spinal cord, pain radiating into the arms or legs, as well as numbness or paralysis, may occur.
About the treatment
Causes and factors
Vertebral fractures are generally caused by trauma (car accidents, falls, etc.) or by conditions that weaken the bones, such as osteoporosis.
Aging, bone diseases and certain cancers can also favour this type of fracture.
In the case of pathological fractures, pre-existing bone fragility is a key factor.
About the treatment
Duration and treatment
Treatment depends on the severity of the fracture and its associated symptoms.
- Stable fractures that do not deform the spine can be treated by rest, wearing a brace and taking painkillers.
- Medical consultation is necessary if pain persists.
- If the fracture is unstable or displaced, or causes nerve compression, surgery may be considered to stabilize the spine and relieve nerve pressure.
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Diagnosis
An X-ray is often the first test used to diagnose a vertebral fracture. MRI or CT scans can be used to assess the extent of the fracture and possible compression of the nerves or spinal cord.
Conservative Treatment
Strict rest and wearing of a corset to immobilize the spine and allow healing. Painkillers and anti-inflammatories may be prescribed to relieve the pain. If the fracture is stable, conservative treatment is generally sufficient.
Physical therapy
After the initial healing phase, physiotherapy helps to strengthen back muscles, improve posture and restore mobility. It is essential for preventing recurrence and facilitating a return to a normal life.
Indications for Surgery
Surgery is considered if the fracture is unstable, or if bone fragments are compressing the nerves or spinal cord. The aim is to stabilize the spine and relieve nerve pressure, enabling better healing.
When to seek emergency treatment
In the event of severe pain, numbness, paralysis, or loss of control of urinary and intestinal functions, immediate consultation is necessary to avoid serious complications.
Types of Surgery
Surgical options for treating a vertebral fracture include cementoplasty, vertebroplasty, or fixation with implants (screws, rods) to stabilize the spine.
Post-operative convalescence
Most patients experience immediate relief after cementoplasty or vertebroplasty. Full recovery is achieved within a few weeks, with a gradual reduction in pain.
Persistent pain
Pain may persist if the fracture has caused prolonged nerve compression. This residual pain can be managed with medication and rehabilitation.
Spinal Stabilization Surgery
When the fracture is unstable or associated with nerve compression, spinal stabilization with screws and rods may be necessary to restore stability and relieve symptoms.
Purpose of the operation
The aim is to stabilize the fractured vertebra and prevent nerve compression. Post-operative rehabilitation focuses on muscle strengthening and functional rehabilitation of the back.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
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