Condition · Spinal fractures & trauma
Burst Fracture
A burst fracture spreads bone fragments outward and toward the spinal canal — stability and neurologic evaluation are essential.
Symptoms
Severe focal back pain is common after a fall, collision, or other high-energy event. Numbness, weakness, difficulty walking, or bowel and bladder changes may indicate nerve or spinal cord involvement and require urgent assessment.
Diagnosis
CT defines the fracture pattern, canal involvement, and posterior-element injury. MRI may be added to evaluate the spinal cord, nerves, discs, and stabilizing ligaments, while standing imaging is used only when clinically safe.
Treatment options
A stable fracture with intact neurologic function may be managed with pain control, activity restrictions, a brace in selected cases, and close follow-up imaging. The plan also addresses bone health when fragility contributed.
When surgery is considered
Surgery is considered when the spine is unstable, alignment is worsening, bone significantly compromises the canal, neurologic function is affected, or a patient cannot safely mobilize with nonsurgical care.
When to seek care promptly
A suspected burst fracture after trauma is an emergency: immobilize the spine and seek immediate care, especially with any numbness, weakness, or difficulty walking.
Initial consultation or second opinion?
Meet Dr. Jihoon Choi for an initial consultation — or bring your imaging for an independent second opinion before your next step. Call (972) 817-7450 or request a visit online.