What are spinal fractures?

A spinal fracture is a break in one of the bones of the spine (vertebrae). Fractures can range from minor compression injuries affecting a single vertebra to more complex injuries involving multiple parts of the spine. Most spinal fractures occur following trauma, such as a fall, sporting injury or road traffic collision. Some fractures can also occur in people with weakened bones, particularly those affected by osteoporosis. While severe spinal fractures often require urgent treatment in specialist NHS trauma centres, some less severe injuries, stable fractures and osteoporotic compression fractures may be assessed and managed through non-trauma spinal services.

What causes spinal fractures?

Spinal fractures may result from:

  • Falls, particularly from height
  • Road traffic accidents
  • Sporting injuries
  • Direct trauma to the spine
  • Osteoporosis and other conditions that weaken bone strength

In some cases, everyday activities such as bending, lifting or minor falls can cause a fracture when bones have become fragile.

 

What are the symptoms?

Symptoms can vary depending on the severity and location of the injury, but may include:

  • Sudden neck or back pain
  • Pain that worsens with movement
  • Tenderness over the spine
  • Muscle spasm
  • Difficulty standing or walking
  • Loss of height or spinal curvature following compression fractures

If the fracture affects the spinal cord or nerves, symptoms may also include:

  • Numbness or tingling in the arms or legs
  • Weakness
  • Difficulty walking
  • Problems with bladder or bowel control

Seek urgent medical attention if you develop arm or leg weakness, severe back or neck pain, loss of sensation around the genitals or buttocks, or changes in bladder or bowel function.

 

How are flexion fractures diagnosed?

Your consultant will ask how the injury happened and examine the painful area carefully. They’ll check how you can move and whether there are any changes in the strength or feeling in your arms or legs.

 

You may need an X-ray or CT scan to show where the break is and how the bones are positioned. A CT scan gives a more detailed picture of the bone.

 

In some cases, your consultant may also recommend an MRI scan to look more closely at your spinal cord, nerves and the tissues around them.

 

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What are spinal fractures?

Treatment routes for Spine fractures

Many spinal fractures can be managed without surgery. This is known as conservative management and is often appropriate for stable fractures that are unlikely to affect the spinal cord or nerves.

Treatment may include pain management, activity modification, and in some cases the temporary use of a spinal brace or collar to provide support during the early stages of healing. Your consultant will advise whether a brace is appropriate and, if so, how long it should be worn.

Although some restrictions may be recommended initially, prolonged rest is rarely beneficial. Maintaining appropriate movement and activity is an important part of recovery and can help reduce pain, maintain strength, and support a return to everyday activities. Physiotherapy may be recommended to help you regain confidence, mobility and function in a safe and progressive way.

 

Working with Spine professionals and teams

Our spine specialists support professional athletes, sports teams, active individuals and people whose work places high demands on their spines. Working closely with radiologists, physiotherapists and the wider multidisciplinary team, they provide coordinated care from diagnosis through to rehabilitation, helping each person return safely to sport, work or everyday activities.

 

The same specialist expertise and collaborative approach are available to every patient, whatever your activity level or recovery goals.

Working with Spine professionals and teams

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

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