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Vertebral Fractures and Variety of Neurological Deterioration [Case Study]

There is a number of vertebral fractures that affect variations in the termination level of conus medullaris (TLCM) and alter neurological findings. Yet, few studies have examined association between fractures, TLCM, and neurological findings.

The progressive aging of society, as well as the availability of diagnostic modalities increased the number of patients with osteoporotic vertebral fractures. The existence of fractures affect variations in the TLCM and alter neurological findings because of shortening of the total spinal length due to fractures with no change in the length of the spinal cord. This study believes in more severe and more numerous fractures affect variations in the TLCM and alter neurological findings.

The location of the TLCM defines neurological symptoms, so, in this study, researchers confirmed that fractures altered location of the TLCM develops potential neurological symptoms. In each patient with fractures and neurological deterioration, the TLCM and neurological symptoms were different in comparison to subjects without fractures.

“One mechanism to explain our findings is shortening of the total spinal length due to vertebral fractures with no change in the length of the spinal cord. To the best of our knowledge, this is the first report describing correlations of the TLCM with the number and severity score of vertebral fractures.”

The wrong level in spine surgery and unexpected neurological deterioration after surgery are the complications associated with the wrong diagnosis. In order to avoid these complications, spine surgeons should compensate for the movement of the TLCM when the patients with spinal fractures show atypically neurological findings at each disordered level.

Researchers investigate  the frequency of clinically significant myelopathy after fragility vertebral fractures and of the potential interventions aimed at preventing reduction of vertebral height and myelopathy to clarify the mechanism of neurological deterioration in patients with fragility vertebral fractures.

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