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A burst fracture is caused by flexion and an axial load and has vertebral compression with a bony fragment in the spinal canal. In about 1/2 of the cases there is spinal cord damage with complete or partial paralysis.
Treatment:
The treatment depends on the presence of spinal cord damage and the amount of angulation (kyphosis) present.
- Casting or bracing is used without cord damage and minimal kyphosis.
- Surgery is necessary when there is cord damage and/or for larger degrees of kyphosis.
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