Pediatric Orthopedic Surgeons treating Pathological Spine Fractures

PATHOLOGICAL SPINE FRACTURES

Pathological spine fractures are the result of an underlying disease process that affects the spine. They are called vertebral compression fractures and are common, and frequent in the elderly. They may be caused by osteoporosis, Paget’s disease, other diseases, and spinal infections (osteomyelitis).

If your child needs surgery or casting, our Fracture Care Clinic opens every day and you do not need an appointment. Surgery rooms get scheduled every morning, so your child receives the care and attention they need right away.

Pathological Spine Fractures

Pathological Fracture of the SpinePathological spine fractures are a type of fracture that occurs in the spinal column due to underlying pathological conditions.  This type of fracture is different from a spine fracture caused by trauma.  For instance, cancer or osteoporosis can cause severe pain, limited mobility, and neurological deficits. In this webpage, we will discuss the causes and types of pathological spine fractures, symptoms, diagnosis, treatments, and prevention measures.

Pathological spine fractures occur because of various factors, but the most common causes are cancer and osteoporosis. In cancer patients, the tumor can invade the bone and weaken it, making it more susceptible to fracture. In osteoporosis, the bones become brittle and weak, increasing the risk of fractures even with minor trauma.

There are Two Main Types of Pathological Spine Fractures:

Compression fractures and burst fractures.

  • Compression fractures occur when the vertebrae in the spine collapse or are compressed, causing pain and deformity.
  • Burst fractures occur when the vertebrae in the spine fracture and break into multiple pieces.  This leads to severe pain and potential nerve damage.

Symptoms

Symptoms of pathological spine fractures can vary depending on the severity of the fracture and the underlying condition. Common symptoms include back pain that may worsen with movement or coughing.  In addition, there is limited mobility and neurological deficits such as numbness, tingling, or weakness in the arms or legs. In severe cases, patients may also experience loss of bladder or bowel control.

QUESTIONS AND ANSWERS

What is a pathological spine fracture, and what caused it in my child?

A pathological fracture is a break in a bone that occurs as a result of an underlying disease or condition that weakens the bone. These conditions may include bone tumors, metabolic disorders, osteoporosis, or other medical issues. The doctor will explain the specific condition that led to the fracture and discuss the associated causes.

What is the prognosis for my child's condition, and what are the treatment options?

The treatment for a pathological fracture depends on the underlying condition and the severity of the fracture. It may involve addressing the primary disease or condition, immobilization of the affected bone, surgical intervention, and pain management. The expected recovery time varies but may be influenced by the type and severity of the fracture. The doctor will outline the specific treatment plan, the estimated duration of healing, and the rehabilitation process.

Can my child's spine function normally again, and what are the precautions we should take to ensure their well-being?

The long-term outlook for a child with a pathological fracture depends on the underlying condition and the effectiveness of treatment. While some children may experience lasting complications or limitations, many can recover well with proper medical care and rehabilitation. The doctor will discuss potential long-term effects, recommend ongoing follow-up care, and provide guidance on how to support your child’s recovery and overall well-being, which may include physical therapy, pain management, and lifestyle adjustments.

It’s important to note that the specific questions and concerns may vary based on the underlying condition, the severity of the fracture, the child’s age, and individual circumstances. The doctor will tailor their responses to address the unique needs and conditions of the child with a pathological fracture.

The doctors at the Medical City Children’s Orthopedics and Spine Specialists Practice only treat children.  As such, our doctors have become experts with children and adolescents and treat their broken bones.  As a final point, we urge parents to bring their children to us to ensure proper broken bone treatment — especially for pathological spine fractures.

Diagnosis

Diagnosis of pathological spine fractures typically involves a thorough medical history and physical examination. Doctors will use Imaging tests such as X-rays, CT scans, or MRI scans to confirm the diagnosis and determine the severity of the fracture.

Treatment

Treatment of pathological spine fractures depends on the severity of the fracture and the underlying condition. The doctor will employ Non-surgical treatments, such as pain management and bracing, to treat mild to moderate fractures. Pain management techniques may include over-the-counter pain medications or prescription pain medications, physical therapy, or spinal injections. Doctors will also use bracing to provide support to the affected area and promote healing.

In more severe cases, doctors will recommend surgical intervention. Surgery may involve procedures such as vertebroplasty or kyphoplasty, which involve injecting cement into the fractured vertebrae to stabilize the bone and relieve pain. Surgeons will also use Spinal fusion to stabilize the spine and prevent further damage.

Prevention Measures

Prevention measures for pathological spine fractures include maintaining a healthy diet rich in calcium and vitamin D to promote bone health, engaging in weight-bearing exercises to strengthen the bones, and avoiding tobacco and excessive alcohol consumption. Patients with underlying conditions such as cancer or osteoporosis should also receive appropriate medical treatment to manage their condition and reduce the risk of fractures.

Recover from Pathological Spine Fractures

The recovery time for pathological spine fractures can vary depending on the severity of the fracture and the treatment approach. Patients undergoing non-surgical treatments may experience relief from pain and improved mobility within several weeks to several months. Patients undergoing surgical intervention may require a longer recovery period and may need to limit physical activity for several months after the procedure.

Conclusion

In conclusion, pathological spine fractures are a type of fracture that occurs in the spinal column due to underlying pathological conditions such as cancer or osteoporosis. As a result, symptoms of pathological spine fractures can include back pain, limited mobility, and neurological deficits. Diagnosis typically involves a thorough medical history and imaging tests such as X-rays, CT scans, or MRI scans. Treatment options include non-surgical interventions such as pain management and bracing Additionally, surgical interventions such as vertebroplasty, kyphoplasty, or spinal fusion surgery are performed.

Prevention measures include maintaining a healthy diet.  Also, engaging in weight-bearing exercises to promote bone health and receiving appropriate medical treatment for underlying conditions definitely help. Recovery time can vary depending on the severity of the fracture and the treatment approach.  Non-surgical treatments typically require several weeks to several months while surgical interventions require a longer recovery period to recover.

Your Child Deserves the Very Best Pediatric Orthopedic Doctors for their Spine

Selecting a pediatric orthopedic doctor for your child is a crucial decision that requires careful consideration. By seeking recommendations, researching credentials, assessing hospital affiliations, reviewing patient testimonials, evaluating communication and bedside manner, considering the supportive team, discussing treatment options, seeking second opinions, prioritizing accessibility, and trusting your instincts, you can make an informed choice. Remember, finding the right orthopedic doctor will ensure that your child receives the best possible care, leading to optimal outcomes and a healthier, happier future. Importantly, the Medical City Children’s Orthopedics and Spine Specialists doctors only treat children.  With offices in Arlington, Dallas, Flower Mound, Frisco, and McKinney, TX. doctors Shyam KishanRichard Hostin, and Kathryn Wiesman have spent years studying children’s health and have devoted their lives to treating them. Finally, we invite you to give us a call and make an appointment for your child.

____________________

Footnote:

National Institute of Health: Pathological Fractures

Call 214-556-0590 to make an appointment.

Comprehensive services for children from birth through adolescence at five convenient locations: Arlington, Dallas, Frisco and McKinney.