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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For T12 Fracture When Suffering From Severe Osteoporosis

I am 63 years old with severe osteoprosis, fell and had burst fracture of t12. My MRI after six weeks shows : there is further compression of central and superior and inferior endplates. There is further retropulsing of the bone posteriorly 8 mm. How close it is to spinal cord? There is effacement of the thecal sac with compression of anterior aspect of of the spinal cord. There is abutement of the transverse nerve roots bilaterally. I do not understand. Am I going to need surgery. I do not have much pain. I am clinically improving. Walking short distances with brace and walker.
Mon, 27 Apr 2015
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General & Family Physician 's  Response
Hello and thank you for your question.
You may benefit from a vertebroplasty. It is an injection of a cement like substance in to the compressed vertebral body to decompress it off the nerve. It is good that you do not have much pain. Effacement of the thecal sac and compression of the anterior aspect of the spinal cord means that it is very near your spinal cord and this could worsening causing severe pain with any further compression.
Regards,
Dr. Robinson
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Suggest Treatment For T12 Fracture When Suffering From Severe Osteoporosis

Hello and thank you for your question. You may benefit from a vertebroplasty. It is an injection of a cement like substance in to the compressed vertebral body to decompress it off the nerve. It is good that you do not have much pain. Effacement of the thecal sac and compression of the anterior aspect of the spinal cord means that it is very near your spinal cord and this could worsening causing severe pain with any further compression. Regards, Dr. Robinson