Spinal Fractures

Publication Title: 
Southern Medical Journal

Despite the availability of specialized treatments for chronic pain, including biofeedback training, relaxation training, and hypnotic treatment, most physicians rely on the traditional approaches of surgery or pharmacotherapy. The patient in this case study had severe and chronic pain but found little relief from pain medications that also caused side effects. She then took the initiative to learn and practice self-hypnosis with good results. Her physician in the resident's internal medicine clinic supported her endeavor and encouraged her to continue self-hypnosis.

Author(s): 
Nickelson, C.
Brende, J. O.
Gonzalez, J.
Publication Title: 
Pain Practice: The Official Journal of World Institute of Pain

OBJECTIVE: The objective of this report is to raise awareness of the effect of strenuous yoga flexion exercises on osteopenic or osteoporotic spines. We previously described subjects with known osteoporosis in whom vertebral compression fractures (VCFs) developed after spinal flexion exercise (SFE) and recommended that SFEs not be prescribed in patients with spinal osteoporosis. METHODS: This report describes 3 healthy persons with low bone mass and yoga-induced pain or fracture.

Author(s): 
Sinaki, Mehrsheed
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To present an uncommon case of an isolated lamina fracture in the cervical spine found by taking stress films when a routine cervical series failed to demonstrate it. CLINICAL FEATURES: A 63-yr-old male was seen after suffering from mild neck pain and stiffness of 4 days' duration after a car accident. A review of emergency room X-rays demonstrated a small fragment of bone adjacent to the anterior superior end-plate of C6.

Author(s): 
Plezbert, J. A.
Oestreich, A. T.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The presentation of a patient to a chiropractic office with an undiagnosed C1 burst fracture (Jefferson fracture) secondary to head trauma from a motor vehicle accident is introduced. CLINICAL FEATURES: A 67-yr-old real estate manager suffered from neck pain and stiffness following release from a major metropolitan medical center.

Author(s): 
Troyanovich, S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This report reviews the case of a missed cervical spine fracture in a patient presenting for chiropractic manipulative therapy. A review of the literature suggests that radiographic examinations performed in emergency care settings following cervical spine trauma are often incomplete for the purposes of screening for contraindications to manipulative therapy.

Author(s): 
Crowther, E. R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The purpose of this paper is to discuss five cases of L5 vertebral compression fracture (VCF), illustrating the epidemiology, clinical presentation and radiographic appearance of the fracture at this uncommon site. Additionally, an empirical approach to conservative management of L5 VCFs is also discussed. DESIGN: A series of five cases. SETTING: Private chiropractic clinic. CONCLUSIONS: Compression fractures at the L5 level are rare; however, this problem should be considered in postmenopausal women who suffer from low back pain and in young men with a history of trauma.

Author(s): 
Kreitz, B. G.
Côté, P.
Cassidy, J. D.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Reports of complications after chiropractic adjustments were administered to the lumbar spine and/or pelvis are rare. This case report provides the events associated with a sacral fracture that was not identified before a side-posture sacroiliac adjustment. CLINICAL FEATURES: The patient suffered from blunt, low back trauma as a result of a fall. Clinical evaluation indicated fixation dysfunction at the left sacroiliac articulation, with minimal edema/tenderness at the inferior portion of the left sacroiliac joint.

Author(s): 
Plaugher, G.
Alcantara, J.
Doble, R. W.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To document the chiropractic management of a patient who sustained a Chance fracture of the third lumbar vertebra. This case study represents the first report in the scientific literature of such an injury managed through chiropractic methods. CLINICAL FEATURES: An 18-yr-old man complained of low back pain and paresthesia in the lower extremities 10 days after suffering an automobile accident.

Author(s): 
Plaugher, G.
Alcantara, J.
Hart, C. R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To discuss the chiropractic management of a patient who sustained a unilateral lamina fracture of the sixth cervical vertebra. CLINICAL FEATURES: The patient had suffered cervical trauma from a motor vehicle accident. Clinical evaluation revealed acute global neck pain with associated left arm radiculitis and approximately 75% loss of useful left-arm motor function. The patient also complained of headache and low back pain. Computerized tomography and radiographic findings indicated a left lamina fracture of the sixth cervical vertebra.

Author(s): 
Alcantara, J.
Plaugher, G.
Abblett, D. E.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To discuss the clinical presentation of posterior limbus fractures and present a review of the literature on this topic. CLINICAL FEATURES: Patients presented with a combination of lower back pain, muscle spasm, diminished reflex responses, restricted motion and foot drop. In some cases, onset followed trauma; in others, it did not. INTERVENTION AND OUTCOME: Some patients required surgical intervention, whereas others underwent chiropractic manipulation and other conservative interventions.

Author(s): 
Bonic, E. E.
Taylor, J. A.
Knudsen, J. T.

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