Boating cancelled this year - fractured Lumbar Vertebrae

[LittleSister]

A wise man once wrote.. "you've got to know when to hold'em, know when to fold'em, know when to walk away, and know when to run"

Good advice, as far as it goes, but I heard that particular sage died, unfortunately, when he slipped on some wet tiles!

 

[SaltIre]

Good advice, as far as it goes, but I heard that particular sage died, unfortunately, when he slipped on some wet tiles!

Had the sage drunk anything to make himself more likely to slip??

 

[Portofino]

You wanna be looking at out comes re the Tx .
Best is the plaster cast .Done property under a GA in a orthopaedic theatre the none displaced # can be reduced .
This virtually eliminates post Tx narrowing .As soon as the bones are fixated in the correct position the pain goes .

NHS is not the best place for this kinda Tx .Short term solutions only .

 

[SaltIre]

I don't think the NHS extends to Latvia.

Edit: If by "none displaced" you mean undisplaced, in what way can the fracture be reduced?

 

[Hacker]

NHS is not the best place for this kinda Tx .Short term solutions only .

Really? Some of the best spinal surgery I’ve seen was done under the NHS. Remember in the UK nearly all spinal surgeons (who have a private practice) work in the NHS.

 

[Portofino]

I don't think the NHS extends to Latvia.

Edit: If by "none displaced" you mean undisplaced, in what way can the fracture be reduced?

Think coke can .
With that image press both ends until it buckles and the inner (inferior ) side compressors the outer ( superior ) might do a bit .
Anyhow it’s not ripped apart but the ends are not parallel, now they are angled .
You don’t want the bone to fuse like that = lead to premature curvature and strain on various nerves local .

Ideally main body of the vertebrae the # part needs “ reducing “ .Or put another way the can straightening out .
Its ( well 90 % + ) of vertebrae # none displaced hence no nerve damage .
Leaving them to fuse “ as is “ or gluing then together to ease the pain of bone ends rubbing “as is “ is thirdly worldly Tx , quick and cheap in a NHS y kinda way dished out in the U.K.

You need a special orthopaedic theatre btw to plaster cast up properly with a mimi crane to ( once GA d ) lift the patient supported vertically to stretch the vertebrae body , reduce it before fixation with plaster + metal reinforced inter grated into the cast .
Result no curvature , no future nerve nipping as the patient ages , no come back .
But it needs skill + kit + and more time at the front end which the NHS lacks .

This is the best way to treat a vertebrae compression # of L .It’s what the clinics in the Alps do .But with winter sports it’s bread n butter stuff .

 

[Fr J Hackett]

Think coke can .
With that image press both ends until it buckles and the inner (inferior ) side compressors the outer ( superior ) might do a bit .
Anyhow it’s not ripped apart but the ends are not parallel, now they are angled .
You don’t want the bone to fuse like that = lead to premature curvature and strain on various nerves local .

Ideally main body of the vertebrae the # part needs “ reducing “ .Or put another way the can straightening out .
Its ( well 90 % + ) of vertebrae # none displaced hence no nerve damage .
Leaving them to fuse “ as is “ or gluing then together to ease the pain of bone ends rubbing “as is “ is thirdly worldly Tx , quick and cheap in a NHS y kinda way dished out in the U.K.

You need a special orthopaedic theatre btw to plaster cast up properly with a mimi crane to ( once GA d ) lift the patient supported vertically to stretch the vertebrae body , reduce it before fixation with plaster + metal reinforced inter grated into the cast .
Result no curvature , no future nerve nipping as the patient ages , no come back .
But it needs skill + kit + and more time at the front end which the NHS lacks .

As pointed out the OP is in Latvia not the UK.

 

[Portofino]

Really? Some of the best spinal surgery I’ve seen was done under the NHS. Remember in the UK nearly all spinal surgeons (who have a private practice) work in the NHS.

We are not talking a “ flashing blade trick “ or some Bozo drilling holes in your bone (s) and fixing metal work , .
.Remember what I opened up with wading in on this = “ best outcomes “ Don’t loose sight of that

 

[Portofino]

As pointed out the OP is in Latvia not the UK.

Yes , just trying to answer my NHS derision line of thought being questioned.

He needs to enquire re the plaster cast cast option if it done in theatre with a GA ?

Alps are a good place for juniors to cut there teeth even Latvians .

 

[Praxinoscope]

My commiserations on your injury, never a good time to be laid up but right in the season is even worse, in a way I was ’fortunate’ in that a fractured my pelvis 3 days before Christmas, so couldn’t do any work on the boat until about mid February, but at least it didn’t interfere with the sailing season.

 

[Bouba]

As pointed out the OP is in Latvia not the UK.

Can we smuggle him into the Swiss Alps...and push him off a ski lift...?

 

[Fr J Hackett]

Can we smuggle him into the Swiss Alps...and push him off a ski lift...?

I know a very good orthopaedic surgeon who did my back in Grenoble. Itama has explained what the funny table and lifting gear were in the operating theatre which looked more like something out of madam whiplashes basement when I had my back done a few years ago. It had me wondering at the time.

 

[SaltIre]

Yes , just trying to answer my NHS derision line of thought being questioned.

He needs to enquire re the plaster cast cast option if it done in theatre with a GA ?

Alps are a good place for juniors to cut there teeth even Latvians .

Do you think the OP has undergone vertebroplasty or kyphoplasty? Kyphoplasty seems the preferred option if it does indeed re-expand the compressed fracture.

 

[graham]

Refueler Get well soon, I hope the op is a complete success and you can get back afloat asap.

 

[Poignard]

I know a very good orthopaedic surgeon who did my back in Grenoble. Itama has explained what the funny table and lifting gear were in the operating theatre which looked more like something out of madam whiplashes basement when I had my back done a few years ago. It had me wondering at the time.

You are familiar with Madam Whiplash's dungeon?

Have you been a naughty boy?

 

[Chiara’s slave]

You are familiar with Madam Whiplash's dungeon?

Have you been a naughty boy?

How he knows so much about that is worthy of a new thread.

 

[Fr J Hackett]

You are familiar with Madam Whiplash's dungeon?

Have you been a naughty boy?

I have a fertile if not furtive imagination.

 

[Poignard]

I have a fertile if not furtive imagination.

Three Hail Marys and a cold shower should help you resist lewd thoughts, my son.

 

[Fr J Hackett]

Three Hail Marys and a cold shower should help you resist lewd thoughts, my son.

 

[Portofino]

Do you think the OP has undergone vertebroplasty or kyphoplasty? Kyphoplasty seems the preferred option if it does indeed re-expand the compressed fracture.

Sorry my bad guys when I said “ best outcome “ I missed off this “ least invasive “ .
Go figure ! ……esp with the spine .Heard of nerves by any chance