Recent Question

(OBQ12.106)A 79-year old female sustains a low energy fall and is hospitalized for low back pain that prevents her from ambulating. She denies any symptoms of buttock or leg pain. On physical exam she has point tenderness over the T12 vertebral body. Examination of her lower extremities is normal. Radiographs are shown in Figure A and B. An MRI is performed which shows signal intensity within the T12 vertebral body on T2-weighted images and no evidence of retropulsion or spinal cord compression. Which of the following statements is true regarding this injury pattern? Topic Review Topic
FIGURES: A   B        

1. There is no association between this fracture and future osteoporotic fragility fractures.
2. Prospective, randomized, double blinded studies have recently showed improvement with vertebroplasty.
3. 2-year mortality rates are roughly equivalent to those associated with hip fractures.
4. This fracture results in chronic back pain in the majority of patients regardless of treatment.
5. Neurologic deterioration is a common complication with this injury pattern.

PREFERRED RESPONSE ▶

Recent Cases

http://upload.orthobullets.com/cases/2501/toe.jpg
HPI - Pain full right feet for one week following hard exercise no history of major...
poll
5 days ago
181 responses
http://upload.orthobullets.com/cases/2499/f3f1e66a-ee24-4aaf-a24a-adc107284637_20160205_123409.jpg http://upload.orthobullets.com/cases/2499/ankle 1.jpg http://upload.orthobullets.com/cases/2499/ankle 2.jpg
HPI - Right ankle injury ankle 1 day earlier
poll
6 days ago
427 responses

Recent Videos

video
Acetabular anteversion angle
Posted 4 days ago - 0 responses - 53 views
video
MRI femoral alpha angle
Posted 4 days ago - 0 responses - 25 views

Job Bank

Hand Surgeon, OrthoGroup > 10
ORA Orthopedics, IA
Posted 1/11/2016

Shoulder & Elbow Surgeon, Fellowship
Shoulder Fellowship - Hospital for Special Surgery, NY
Posted 12/27/2015

Trauma Surgeon, Fellowship
Trauma Fellowship - Andrews Institute of Orthopaedics and Sports Medicine, FL
Posted 12/27/2015

General Orthopaedics Surg., OrthoGroup 1-3
Valley Orthopedics Associates , CA
Posted 12/17/2015

Sports Medicine Surgeon, Academic
Nemours, FL
Posted 10/24/2014

Hand Surgeon, OrthoGroup 4-10
United Hospital Center , WV
Posted 10/17/2013

Trauma Surgeon, OrthoGroup > 10
Illinois Bone and Joint Institute, IL
Posted 10/14/2013

General Orthopaedics Surg., Fellowship
Huntsman Cancer Institute, UT
Posted 10/8/2013

Spine Surgeon, Academic
UCLA/Orthopaedic Institute for Children Department of Orthopaedic Surgery David Geffen School of Medicine at UCLA, CA
Posted 10/7/2013

Sports Medicine Surgeon, Academic
UCLA/Orthopaedic Institute for Children Department of Orthopaedic Surgery David Geffen School of Medicine at UCLA, CA
Posted 10/7/2013

Foot & Ankle Surgeon, Academic
UCLA/Orthopaedic Institute for Children Department of Orthopaedic Surgery David Geffen School of Medicine at UCLA, CA
Posted 10/7/2013

Total Joint Surgeon, OrthoGroup > 10
Greensboro Orthopaedics, NC
Posted 10/7/2013

Foot & Ankle Surgeon, OrthoGroup > 10
Greensboro Orthopaedics, NC
Posted 10/7/2013

Hand Surgeon, OrthoGroup 4-10
Carolina Orthopaedic & Sports Med. Ctr. , NC
Posted 10/7/2013

General Orthopaedics Surg., Multispecialty Group
Ochsner Medical Center - Baton Rouge , LA
Posted 10/6/2013

Total Joint Surgeon, Multispecialty Group
Ochsner Medical Center - Baton Rouge , LA
Posted 10/6/2013

Spine Surgeon, Multispecialty Group
Ochsner Medical Center - Baton Rouge, LA
Posted 10/6/2013

Foot & Ankle Surgeon, OrthoGroup 1-3
Barron & Homesley Orthopedic Specialists , NC
Posted 10/6/2013

General Orthopaedics Surg., Multispecialty Group
River Region Health System, MS
Posted 10/6/2013

General Orthopaedics Surg., Academic
Penn State Hershey Orthopaedics and Sports Medicine, PA
Posted 10/4/2013

Sports Medicine Surgeon, Multispecialty Group
MedStar Georgetown Orthopaedic Institute, MD
Posted 10/4/2013

General Orthopaedics Surg., Multispecialty Group
Mercy Clinic, MO
Posted 10/4/2013

General Orthopaedics Surg., OrthoGroup 4-10
Christian Hospital BJC Medical Group , MO
Posted 10/4/2013

Foot & Ankle Surgeon, Multispecialty Group
Pro Sports Orthopedics, MA
Posted 10/3/2013

Total Joint Surgeon, Academic
Department of Orthopaedics and Sports Medicine UW School of Medicine, WA
Posted 10/3/2013

General Orthopaedics Surg., Academic
Department of Orthopaedic Surgery, Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center, NH
Posted 10/3/2013

Hand Surgeon, Multispecialty Group
Kaiser-Permanente , MD
Posted 10/3/2013

Spine Surgeon, Academic
Department of Orthopaedic Surgery, University of Virginia Health System , VA
Posted 10/2/2013

General Orthopaedics Surg., Multispecialty Group
Good Samaritan Hospital , IN
Posted 10/2/2013

General Orthopaedics Surg., Multispecialty Group
MACC Orthopedics, MA
Posted 10/2/2013

Topic Updates

topic TFCC Injury on 02/10/16
topic Tendons on 02/10/16
topic Types of Bone on 02/09/16
topic Leiomyosarcoma on 02/08/16
topic Meniscal Injury on 02/08/16
topic Meniscal Injury on 02/07/16
topic Meniscal Injury on 02/07/16
topic Equinovarus Foot on 02/07/16
topic Down's Syndrome on 02/06/16
topic Down's Syndrome on 02/06/16
topic Freiberg's Disease on 02/06/16
topic Anticoagulation on 02/05/16
topic Trigger Finger on 02/05/16
topic THA Complications on 02/04/16
topic Trigger Finger on 02/04/16
topic Cleft Hand on 02/04/16
topic Palmar interossei on 02/02/16
topic Dorsal interossei on 02/02/16
topic Adductor Pollicis on 02/02/16
topic Opponens Pollicis on 02/02/16
topic Popliteus (L5) on 02/02/16
topic Plantaris (S1) on 02/02/16
topic Soleus (S1) on 02/02/16
topic Burners & Stingers on 02/01/16
topic Burners & Stingers on 02/01/16
topic Gastrocnemius (S1) on 02/01/16
topic Peroneus tertius on 02/01/16
topic Quadratus femoris on 02/01/16
topic Inferior Gemellus on 02/01/16
topic Superior gamellus on 02/01/16
topic Obturator internus on 02/01/16
topic Obturator externus on 02/01/16
topic Semimembranosus on 02/01/16
topic Semitendinosus on 02/01/16
topic Gracilis on 02/01/16
topic Adductor brevis on 02/01/16
topic Adductor longus on 02/01/16
topic Tensor fascia lata on 02/01/16
topic Gluteus minimus on 02/01/16
topic Gluteus medius on 02/01/16
topic Gluteus maximus on 02/01/16
topic Vastus medialis on 02/01/16
topic Vastus intermedius on 02/01/16
topic Rectus femoris on 02/01/16
topic Pectineus on 02/01/16
topic Sartorius on 02/01/16
topic Psoas on 02/01/16
topic Iliacus on 02/01/16
topic Brachialis on 02/01/16
topic Biceps Brachii on 02/01/16
topic Subscapularis on 02/01/16
topic Infraspinatus on 02/01/16
topic Supraspinatus on 02/01/16
topic Deltoid on 02/01/16
topic Coracobrachialis on 02/01/16
topic Latissimus Dorsi on 02/01/16
topic Teres Major on 02/01/16
topic Pectoralis Major on 02/01/16
topic Pectoralis Minor on 02/01/16
topic Levator scapulae on 02/01/16
topic Serratus on 02/01/16
topic Trapezius on 02/01/16
topic Subscapularis on 02/01/16
topic Teres Minor on 02/01/16
topic Infraspinatus on 02/01/16
topic Supraspinatus on 02/01/16
topic Deltoid on 02/01/16
topic Coracobrachialis on 02/01/16
topic THA Stability on 01/31/16
topic THA Stability on 01/31/16
topic THA Stability on 01/31/16
topic Extensor Indicis on 01/31/16
topic Supinator on 01/31/16
topic Extensor Digitorum on 01/31/16
topic Anconeus on 01/31/16
topic Pronator quadratus on 01/31/16
topic Palmaris Longus on 01/30/16
topic Pronator Teres on 01/30/16
topic Triceps Brachii on 01/30/16
topic Brachioradialis on 01/30/16
topic Brachialis on 01/30/16
topic Biceps Brachii on 01/30/16
topic Subscapularis on 01/30/16
topic Teres Minor on 01/30/16
topic Infraspinatus on 01/30/16
topic Supraspinatus on 01/30/16
topic Deltoid on 01/30/16
topic Coracobrachialis on 01/30/16
topic Scaphoid Fracture on 01/29/16
topic Latissimus Dorsi on 01/29/16
topic Teres Major on 01/29/16
topic Latissimus Dorsi on 01/29/16
topic Teres Major on 01/29/16
topic ACL Tear on 01/28/16
topic Amputations on 01/27/16
topic Pediatric Abuse on 01/25/16
topic Melanoma on 01/24/16
topic Scaphoid Fracture on 01/24/16
topic Hallux Valgus on 01/24/16
topic Scaphoid Fracture on 01/23/16
topic Hip Osteoarthritis on 01/23/16
topic Kohler's Disease on 01/23/16
topic Hallux Valgus on 01/22/16
topic Scaphoid Fracture on 01/22/16
topic Galeazzi Fractures on 01/22/16
topic Galeazzi Fractures on 01/22/16