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Thread: Compression Fracture of T12.

  1. #101

    T12 Compression Fracture

    Firstly, speedy recovery to all.

    I had a fall off my mountain bike on Wednesday (16 May). It was the most painful moment of my life. Had to be taken to a hospital in a spinal hardboard. 40% compression with no nerve or spinal cord damage.

    Trying get off the hospital bed and walk at this point is almost an impossible task due to the pain.

    Can I check when were you all able to walk and how long for the pain to subside enough not to impair the quality of life?


  2. #102
    Quote Originally Posted by Daniel Soh View Post
    Firstly, speedy recovery to all.

    I had a fall off my mountain bike on Wednesday (16 May). It was the most painful moment of my life. Had to be taken to a hospital in a spinal hardboard. 40% compression with no nerve or spinal cord damage.

    Trying get off the hospital bed and walk at this point is almost an impossible task due to the pain.

    Can I check when were you all able to walk and how long for the pain to subside enough not to impair the quality of life?

    Do you have any neurologic impairment (leg weakness, bowel, bladder or sexual dysfunction)? Most people here did, and so walking was much more dependent upon the degree of paralysis they had than upon the pain they had. I assume you are getting sufficient pain medication from your physician? Laying in bed puts you at serious risk of developing complications such as pressure ulcers, blood clots in your legs (DVT), and general debilitation. You should talk with your physician about pain medication to take prior to getting out of bed, and seeing a physical therapist to help you with an exercise regimen within any restrictions.

    Have you seen a spinal specialist (orthospine or neurosurgeon) to determine if surgery is indicated? If not, I would strongly encourage you to do so.

    Are you wearing a back brace? Something like a Warm-and-Form brace can help a lot with pain in that area of the back.

    Unfortunately, it is not uncommon to have long term musculoskeletal pain issues. The acute pain can last up to 3 months, and chronic pain can be much longer from a fracture in this area.


  3. #103
    Thanks for the reply. Saw the spine surgeon today and an emergency Op has been schedule on Monday. He mentioned something about unstable fracture and recommended that a brace and 8 screws be placed onto my T12. Followed by a external brace support, physiotherapy would start the day after. Was took to move my ankles tens a hour and deep breathes and hold 5 secs and exhale for pneumonia and DVT preventions.

    Thanks God, there were no spinal or nerve injuries.

  4. #104
    Took my first few steps today. One day after the op, the physio had me practice sitting up first. The two sessions I had with her were confidence booster had a mental barrier that the rod and screws would not hold up to my weight. But it did. Walked 40 metres with a walking aid and without. Yippee

  5. #105

    Lightbulb T12 Burst Compression Fracture

    Hello All. I have read many of the posts from the beginning of this thread and my heart goes out to all of you and I hope everyone heals.

    My Story - April 21, 2012 - Sand Mountain Nevada - Raptor 700 - The Bowl - person that has been drinking turns his Rhino 90 degrees heading directly where I am going as I am coming down the 70 degree face at 50 MPH. One second to decide what to do - accelerate and beat him is the only option and almost made it...right tire caught in lower bowl lip and I was catapulted...not good

    Friends tell me I tumble like Gumby and my quad tumbled more than I did

    1. Ambulance to first ER
    2. Life Flight to Renown (extremely good trauma center if ever needed)
    3. Fractured right clavicle - emergency surgery plated and many screws
    4. Six broken ribs
    5. Fractured T12 - 50% burst compression with 18 degree loss of height, 10% compromise into spinal cavity, some shards
    6. Immediate custom made TLSO back brace and lots of morphine
    7. Ordered to wear brace whenever up and out of bed but not in bed??? Not sure why I would not wear it in bed???
    8. Seeing ortho surgeon for the clavicle and nationally renowned neuro surgeon for the back
    9. No real pain at T12 when wearing the brace save for the hip contact point that just rubs
    10. Some short pain at T12 when I am up for a long time but nothing major
    11. No leg, buttock, foot, lower extremity, etc pain or tingling and everything works okay (thank god for small miracles)
    12. No pain meds now for three weeks and not much prior except for the first 10 days.

    Just went in for new x-rays last Thursday and appointment today. My T12 has degenerated down to 25 degrees loss of height and the neurosurgeon has gone from "18% you will be fine and do what you want" to "this is not good and you may need surgery if you have severe pain". He used an analogy of putting packing peanuts into a box and then shaking it - the peanuts will compress as they "fill the holes".

    Has anyone experienced this type of degradation in T12 height while healing?
    I have seen some posts with the actual degree of height loss - anyone else at 25% without surgery - how did you heal and what is the damage now?
    This has me worried even though I was told by the surgeon that at over 5 weeks the healing is well on the way and the compression should stop. My next appt and x-ray is in a month and I pray that when I go in I am still at 25%.

    Thanks in advance for any replies...
    Last edited by BACKBOY; 05-30-2012 at 03:37 AM. Reason: Change options

  6. #106

    Missed T12 Fracture

    Hi there all!

    It's interesting to read similar stories - I empathize!

    I fell 9ft and landed on my feet. I was in agony and could barely move. I somehow got to hospital but, I was only X-Rayed and told to rest and not to lie down too much in bed. I was sent home that day without a brace.

    I had to phone my own doc for painkillers and to get time off work, which was 2 weeks. I have a desk based job and my back was really killing me without painkillers so, throughout the year, I went back and forth to the doc, who said I had severe muscle spasms. I had to wait almost half a year for physio on the NHS; unfortunately, that wasn't working.

    A year later, my hip was now hurting more than the back and so the doc sent me for an MRI scan. A year later, they diagnosed a t12 wedge compression fracture, which they said was mild and now healed.

    I am really angry at them for not giving me a scan and brace sooner. Does anyone think that this has been detrimental to my healing? My back isn't as strong as it was and I can't sit for long periods without pain and feel discomfort constantly.

    Thanks for reading! Any feedback would be appreciated!

  7. #107

    Healing and Chiropractic

    Hello All,

    I have been doing a LOT of reading on burst and compression fractures since my injury. I found several pages suggesting that non surgical procedures work well even with some pretty severe trauma since surgery can have so many complications. These blogs suggest chiro care once fully healed to help release tension in the spine and allow proper alignment. Along with chiro they suggest specific back strengthening exercises and stretching.

    I am going to try all of these as soon as I am able and will update this post.

    Good luck to all..

  8. #108
    I have proceed to weekly Hydro Therapy, with exercises concentrated on loosening hips, legs and back muscles. With some minor flexing twisting exercise for my spine. Off painkillers for almost 2 weeks. Now into week 3.

  9. #109

    More on the Injury

    Hi Ashleigh,

    To answer your previous reply I have no loss of any functions, no numbness, and no real pain.

    To Continue:

    I did just get my next series of x-rays today (normal standing) and my T12 does not really look good. I have done research and have found that the T12 could have a normal 10 - 15 % anterior height loss due to normal functionality. My T12 appears to be about 1/3 + shorter than T11 so I am assuming I have lost a total of about 30 - 40 % height. If I take a normal 15% loss into account that would be a net loss of 15 - 25%...not good but still within non operative range from everything I have read. I have been doing a lot of reading about experimental stem cell and ceramic procedures that may add hope to actually rebuilding the anterior height of a vertebrae without fusion...I will keep diligent research going on this as procedures are perfected in other countries then hopefully available in the US.

    Good luck to all on this site with back injuries - my thoughts and prayers will be with you for a speedy recovery and a pain free life.

  10. #110

    Talking Recent Appointment

    Hello All,

    Hope everyone is getting better, healing quickly, and as pain free as possible. I just had my 10 week appointment yesterday with x-rays taken the day before. There was no change from x-rays take the previous month so I was released from the TLSO clam shell hell (woohoo) and am now scheduling physical therapy - 3 x per week for 6 weeks.

    After closely examining my x-rays and studying measurements, seems like I have lost about 40% total anterior height. Per my previous post and research, this is a non operative stance and my neurosurgeon agrees...for now.

    I would like everyone out there to know that breakthroughs are happening each day with stem cell research, specifically using induced pluripotent stem (iPS) cells. iPS cells are similar to embryonic stem cells in that they can also give rise to nearly any type of cell in the body, but iPS cells are produced from adult cells and as such are individualized to each patient. This type of stem cell reduces the instance of rejection.

    I jokingly told my neurologist yesterday that there was no problem - in 10 years they will just grow me a new vertebrae from my own stem cells and fully restore my T12 anterior height - he did not find my joke amusing. Not sure why but I guess if problems like mine could be naturally repaired surgeons would not have much repeat business...

    I have another appointment in 6 weeks with x-rays and will update on that as well as how PT is coming along...I am a gym rat at 51 so they will be working with me on getting me back to my workouts.

    Good Luck and a speedy recovery to all...

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