Fatigue fracture of vertebra, thoracolumbar region digital illustration

Fatigue fracture of vertebra, thoracolumbar region Save


ICD-10 code: M48.45

Chapter: Diseases of the musculoskeletal system and connective tissue

Fatigue Fracture of Vertebra, Thoracolumbar Region: Causes, Symptoms, and Treatment

Vertebral fractures in the thoracolumbar region can occur due to a variety of reasons, including traumatic injury, osteoporosis, and cancer. However, one of the less common causes of vertebral fractures is fatigue or stress fractures. Fatigue fractures occur when a bone is repeatedly subjected to stress or strain, which eventually leads to a small crack or fracture in the bone. In the thoracolumbar region, fatigue fractures are typically seen in athletes, military personnel, and people who perform repetitive lifting or bending activities.

Symptoms of fatigue fractures of the vertebra in the thoracolumbar region can be similar to other types of vertebral fractures. These can include back pain, tenderness, and muscle spasms. However, fatigue fractures may also present with more subtle symptoms, such as dull or achy pain that worsens with activity and improves with rest.

If you suspect that you may have a fatigue fracture, it is important to seek medical attention. Your doctor may order imaging tests like an X-ray, MRI, or CT scan to confirm the diagnosis. Treatment for fatigue fractures typically involves rest and immobilization. This may include wearing a back brace or using crutches to limit movement and prevent further damage to the affected vertebra.

  1. Rest and Immobilization: As mentioned before, the first step in treating a fatigue fracture is to limit movement and prevent further damage. This may involve using a back brace or crutches to take pressure off the affected vertebra. Resting and avoiding activities that exacerbate pain are also important.
  2. Physical Therapy: Once the fracture has started to heal, physical therapy may be recommended to help restore strength and flexibility to the back muscles and spine. This can help prevent future fractures and improve overall spinal health.
  3. Pain Management: Pain can be a significant issue with fatigue fractures. Over-the-counter pain medications like acetaminophen or ibuprofen may be recommended. In some cases, prescription pain medication or injections may be necessary to manage severe pain.
  4. Surgery: In rare cases, surgery may be necessary to repair severe fatigue fractures. This may involve spinal fusion or other procedures to stabilize the affected vertebra.

Overall, fatigue fractures of the vertebra in the thoracolumbar region can be a painful and debilitating condition. However, with proper diagnosis and treatment, most people are able to recover fully and return to their normal activities. If you suspect that you may have a fatigue fracture, it is important to seek medical attention as soon as possible.