Understanding Different Types of Spine Fractures

Understanding Different Types of Spine Fractures

Last Updated: November 21, 2025By

Spine fractures are injuries that compromise the structural integrity of the vertebral column, frequently resulting in significant pain or loss of mobility. The spinal column serves as the primary support for the body, so any damage to the vertebrae can affect posture and daily function. Understanding the specific characteristics of these injuries helps patients navigate their diagnosis.

What Is a Spine Fracture?

A spine fracture occurs when one or more of the 33 bones in the spinal column break or collapse due to external force or internal weakness. These injuries range from minor hairline cracks to severe fractures, with severity dictating the level of medical intervention required. The vertebrae protect the spinal cord, so a fracture in this area carries the potential risk of nerve damage or paralysis.

The injury disrupts spinal stability, and this instability can lead to chronic pain or deformity if left untreated. Clinicians classify these fractures by their location within the spinal column and assess the pattern of the break. An accurate diagnosis is necessary to determine the most effective treatment plan for the patient.

What Are the Different Types?

Compression fractures are a common type of spinal fracture, and they frequently affect patients with weakened bone density. The anterior portion of the vertebra collapses under pressure, while the posterior portion remains intact, resulting in a wedge-shaped deformity. Flexion-distraction fractures occur when the body is thrown forward violently, the sudden force pulling the vertebrae apart.

Burst fractures involve the vertebra breaking in multiple directions, and this typically results from high-impact trauma such as a fall from a significant height. The vertebral body shatters into several pieces, and bone fragments may be pushed into the spinal canal. This displacement creates a higher risk of spinal cord injury, so immediate stabilization is often required.

What Causes Them?

High-energy trauma is a primary cause of spinal fractures. Motor vehicle accidents and sports injuries exert sudden, excessive force on the spinal column, and even healthy bones can fracture under this immense pressure. Falls from significant heights also contribute to these injuries, and the impact forces are transmitted vertically through the spine. Underlying medical conditions increase the risk of fractures in older adults.

What Are the Treatment Options?

Non-surgical management is often the initial approach for stable fractures that do not threaten the spinal cord. Bracing is prescribed to restrict spinal motion, allowing the fractured bone to heal naturally over several months. Physical therapy plays a significant role in recovery once the fracture has begun to heal. Therapists guide patients through targeted exercises to strengthen the muscles supporting the spine, and this helps restore range of motion.

For fractures that cause persistent pain or deformity, minimally invasive procedures such as vertebral augmentation are available. Vertebroplasty involves injecting medical-grade bone cement into the fractured vertebra, and this stabilizes the bone to provide rapid pain relief. Kyphoplasty is a procedure that uses a balloon to create space before injecting cement, helping restore lost vertebral height.

The SpineJack® system represents a technological advancement in the treatment of vertebral compression fractures. This titanium implant is inserted into the vertebra to mechanically restore its height, and bone cement is then injected to secure the structure. It provides a precise reconstruction of the vertebral body and is effective for correcting deformities associated with osteoporotic fractures.

Visit an Interventional Radiologist Today

Spine fractures require expert evaluation to determine the most appropriate course of treatment. Early diagnosis and intervention can improve long-term outcomes, and consulting a specialist helps you explore advanced options. Schedule a consultation with an interventional radiologist to discuss your condition.

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