Therapy of a vertebral fracture

Vertebral fracture therapy

From the results of the Diagnosis of vertebral fracture the therapy is derived from.

The stable one Vertebral fracture is treated conservatively in most cases. This includes:

  • needs-based pain therapy (Analgesic therapy)
  • Physiotherapy (neck gymnastics)
  • Balneotherapy
  • Electrotherapy and
  • possibly the installation of a Support corsets.

If there are significant symptoms of pain and a great loss of height of the vertebral body with the probable development of chronic segment instability, a straightening operation can be performed.
This form of therapy for the vertebral body can be carried out surgically openly or, more recently, in certain cases, also minimally invasive. (Kyphoplasty).
In kyphoplasty, a small surgical procedure, the Vertebral bodies be straightened up again by a balloon and stabilized from the inside by filling the vertebral body with cement.
The kyphoplasty procedure is usually only performed at specialized centers for spinal surgery.
Further information on this topic is available at: Kyphoplasty

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Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
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The spine is difficult to treat. On the one hand it is exposed to high mechanical loads, on the other hand it has great mobility.

The treatment of the spine (e.g. herniated disc, facet syndrome, foramen stenosis, etc.) therefore requires a lot of experience.
I focus on a wide variety of diseases of the spine.
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

  • Lumedis - your orthopedic surgeon
    Kaiserstrasse 14
    60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert

In very general terms, the goals of surgical treatment of the vertebral fracture are repositioning and stabilization of the affected spinal column.

Unstable fractures are usually treated with open surgery. A corset usually does not have a sufficiently stabilizing effect.

The surgical methods of choice are fracture reduction and vertebral body stabilization by one of backwards (dorsal) inserted fixator internal (Bone tensioner; see adjacent figure) in the case of thoracic and lumbar spine injuries or the anterior vertebral body stabilization through a stiffening plating (Plate fixation with iliac crest chip interposition) for cervical vertebral body fractures (with the exception of the Atlas and Axis).
These measures relieve the load on the fractured vertebral body and the patient can be mobilized early after the operation.

Figure vertebral fracture

Figure vertebral fracture

Vertebral fracture (vertebral fracture)

  1. Transverse process -
    Transverse process
  2. Spinous process -
    Spinous process
  3. Upper articular process -
    Superior articular process
  4. Lower articular process -
    Inferior articular process
  5. Spinal nerve -
    Spinal nerve
  6. Spinal cord -
    Medula spinalis
  7. Gelatinous core - Nucleus pulposus
  8. Vertebral arch - Arcus vertebrae
  9. Fiber ring - Annulus fibrosus
  10. Vertebral bodies - Corpus vertebrae
  11. First thoracic vertebra -
    Vertebra thoracica I
  12. Twelfth thoracic vertebra -
    Vertebra thoracica XII
  13. First lumbar vertebra -
    Vertebra lumbalis I
  14. Fifth lumbar vertebra -
    Vertebra lumbalis V
    a - cervical spine (cervical spine)
    b - thoracic spine (BWS)
    c - lumbar spine (lumbar spine)
    A - vertebral fracture (spinous process,
    Vertebral bodies) from above
    B - vertebral fracture (spinous process,
    Vertebral body) from the right
    C - Most common area of ​​the
    Vertebral fracture

You can find an overview of all Dr-Gumpert images at: medical illustrations