What is the cause of compression lumbar fracture

Compression lumbar fracture can be said to be the most common problem of the lumbar spine, which often occurs in some elderly people. Because the elderly have more serious osteoporosis, they are more likely to suffer from lumbar fractures. Of course, it may also be caused by muscle tension or direct violence.

1. Indirect violence

The most common. It is most common when falling from a height, with the hips or feet landing on the ground, and the force is transmitted upward to the waist; or heavy objects fall from a height and impact the head, shoulders, and back, and the force is transmitted downward to the waist, causing fractures; some elderly people have severe osteoporosis, and certain minor injuries, such as bumpy rides in a car, sitting down on the ground, etc., can also cause vertebral fractures.

2. Muscle pulling

When the muscles in the lumbar region suddenly and strongly contract, considerable tensile stress can be generated, which commonly causes fractures of the vertebral appendages, such as the transverse process and spinous process. Severe muscle contractions caused by tetanus or other nervous system diseases can lead to compression fractures of the thoracic and lumbar vertebrae.

3. Direct violence

Rarely seen. It can be seen in traffic accidents, firearm injuries, or direct blows to the waist. This type of injury often causes spinal cord injury and has serious consequences such as varying degrees of paralysis.

4. Diagnostic basis

Most patients have a clear history of trauma; local swelling and pain in the chest and waist, with the appearance of kyphosis, local tenderness and percussion pain, and poor lumbar movement; those with bone marrow injury may have varying degrees of functional impairment; X-rays can determine the type and degree of fracture; CT and MRI examinations can determine the degree of spinal cord compression.