[muzaffar9550]

#11400

dear sir
as on 21st of june 2014 i met with an accident and i was hurt by falling a tree on my vechile after going through this accident i was rushed to hospital for treatment there docotor asked me to go for digital x-ray of cervical spine and that x-ray shows normal nothing then i was asked to have a ct-scan of cervical spine and the report is as below:

dated 21-june-14
*c1 vertebea shows fracture of right transvera process and right lamina.
*c4 vertebea shows fracture of right lamina.
*compression fracture of c6 vertebea body is seen alongwith fracture of B/2 lamina
*no evidence of significant spinal conol narrowing.

this was my first ct-scan report and at that time doctor asked me for strict bed rest for six weeks and to wear cervical hard collar for 24*7
after long of six weeks i go to doctor for consultation there here again asked to wear collar for further six weeks regularly
after passing such time today on 4th of september 2014 i go for another consultation to doctor there he asked me to do a ct-scan and an MRI
and report follows as:
MRI report
* there is loss of cervical lordosis with straightening of curvature of the spine.
*fracture of c6 vertebral body causing mild anterior wedging. Mild edema of c6 vertebral body, spinous process and right lamina is noted. No retropulsion of fragment/cord edema noted at this level
* Diffuse disc bulge is seen at C4-5 level midly indenting the thecal sa and midly compromising the bilateral neural foramina (R>L)
*Diffuse disc bulge is seen at C5-6 level midly indenting the thecal sa and midly compromising the bilateral neural foramina (L>R)
*The central spinal canal dimensions are within normal limits.
*No evidence of primary canal stenosis.
* The ligamentum flavum thicknesss is within normal limits.

*The spinal cord shows normal calibre and signal intensity.
*No evidence of basal invaniganation/Chiari malformation.
*Atlantoaxial articulation is normal.

CT-Scan Report on 04-09-2014 is as:
CT SPINE-CERVICAL[04/09/2014]
OBSERVATION
*LINEAR FRACTURE OF C6 VERTEBRAL BODY NOT EXTENDING TO POSTERIOR ELEMENTS.
*THERE IS NO DISLOCATION OR EROSION SEEN.
*THERE IS STRAIGHTENING OF THE CURVATURE OF THE CERVICAL SPINE.
*THE DISC SPACES ARE UN-MARKABLE.
*CERVICAL VERTEBRAE REVEAL NORMAL DENSITY AND ALIGNMENT.
*NO OTHER PRE OR PARA VERTEBRAL SOFT TISSUE MASS IS IDENTIFIED.

Please advice me accordingly how to go about the the very matter.Would be much helpful
Thanks.

[Donald Corenman, MD, DC]

#11425

You have had fractures of C1, C4 and C6. The lamina fractures of C1 and C4 should heal OK but occasionally, a lamina fracture injures the facet but that fact is not noted on the radiology report. The compression fracture of C6 could heal normally but it depends upon the amount of compression that occurred.

I am unclear that you should have had strict bed rest for six weeks but that is safe and allows the fractures to “get sticky” without stress on them.

The new MRI images cause no significant concern. The CT scan is what I would expect at this time. The fractures have healed and at this point, I would have a patient in your situation start physical therapy for range of motion and strength. Most restrictions would be lifted at this point.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

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