Spinal fractures, particularly in the lumbar spine (lower back), can exert pressure on spinal nerves, leading to pain. These fractures are often severe and may necessitate surgical intervention to remove and replace the damaged vertebrae, thereby stabilizing the spine. Pars fractures, which frequently occur in the lowest lumbar vertebra (L5), are common in athletes who engage in activities like gymnastics and martial arts, where the back is repeatedly bent backwards.
A surprising cause of back pain can be a broken back without an apparent fall. Symptoms such as persistent back pain, height loss, or osteoporosis should not be ignored, as they could indicate a compression fracture. Despite the absence of a fall or strenuous activity, these signs can be indicative of broken bones in the back.
Lower back pain can have various origins, including fractures, cancer, or referred pain to the lumbar spine. Chronic lower back pain may require diagnostic tests to determine the underlying cause. Treatment for acute lower back pain varies, ranging from medication to surgery, especially in cases of a severely herniated disc.
The common types of spinal fractures include vertebral compression fractures, vertebral burst fractures, and fracture-dislocations, which significantly damage the facet joints. Minor fractures can involve the lamina, transverse process, or spinous process. Pars defects or spondylolysis, a type of stress fracture in the lower spine bones, are common in children and adolescents, often resulting from overuse and leading to low back pain.
The extent of height loss and deformity from vertebral fractures depends on their number, location, and severity. Most people with these fractures have one or two, commonly in the thoracic (mid-back) and sometimes in the lumbar region. The lower back is a frequent site of injuries and pain, with treatment options varying based on the injury’s nature.
For more detailed information on spinal fractures and their treatment, visit Spine Fractures, Spondylolysis and Pars Fracture, A Broken Back Without the Fall, In-Depth Overview of Low Back Pain, Treating Osteoporotic Fractures of the Spine, Spine Sprains, Fractures, and Injuries, Spinal Fractures, and Spondylolysis and Pars Defect.
