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A 48-year-old male asked:

I have a rupture burst fracture at the t-12 2 0f 3 layers of bone are gone and bone fragments are all over do you suggest surgery fearing piercing?

2 doctor answers3 doctors weighed in
Dr. Chukwuka Okafor
Orthopedic Spine Surgery 16 years experience
See a Spine Surgeon: Surgery indications include progressive neurologic deficit, spinal instability, progressive spinal deformity, significant canal compromise could also be a consideration especially 80% compromise or more. You have to be followed closely by a spine surgeon even if you do not meet surgical indications to ensure proper healing of your fracture. Surgery when not indicated will likely not change outcome.
Dr. Norman Cohen
Anesthesiology 36 years experience
Not enough info: This sounds very worrisome, but i don't have enough information to answer your question. Burst fractures can lead to spinal cord injury. If you have normal nerve function, you may have time for a second opinion to help you figure this out; however, if you are experiencing worsening neurological symptoms, then surgery will almost certainly be your best course.

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Last updated May 6, 2016

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