Holdsworth fracture
| Holdsworth fracture | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Severe back pain, neurological deficit |
| Complications | Spinal cord injury, paralysis |
| Onset | |
| Duration | |
| Types | |
| Causes | Trauma |
| Risks | High-energy impact, motor vehicle accident |
| Diagnosis | X-ray, CT scan, MRI |
| Differential diagnosis | Chance fracture, Jefferson fracture |
| Prevention | |
| Treatment | Surgical stabilization, spinal fusion |
| Medication | Pain management |
| Prognosis | Variable, depending on severity |
| Frequency | Rare |
| Deaths | |
Holdsworth Fracture is a type of fracture that involves the vertebrae in the spine. It was first described by Dr. W. R. Holdsworth in 1963. This fracture is a result of a high-energy trauma and is often associated with other injuries.
Definition
A Holdsworth Fracture is a fracture-dislocation of the thoracolumbar spine. It is a type of unstable fracture that involves the posterior elements of the vertebrae, including the spinous process, lamina, and facet joints. This fracture is often associated with a forward dislocation of the spine.
Causes
The most common cause of a Holdsworth Fracture is a high-energy trauma, such as a fall from a height or a motor vehicle accident. The force of the trauma causes the vertebrae to fracture and dislocate.
Symptoms
The symptoms of a Holdsworth Fracture can vary depending on the severity of the injury. Common symptoms include severe back pain, numbness or weakness in the legs, and loss of bladder or bowel control.
Diagnosis
The diagnosis of a Holdsworth Fracture is typically made through a combination of a physical examination and imaging studies. An X-ray or CT scan can be used to visualize the fracture and any associated dislocation.
Treatment
The treatment for a Holdsworth Fracture typically involves surgery to stabilize the spine and prevent further injury. This may involve the use of screws and rods to hold the vertebrae in place while they heal.
Prognosis
The prognosis for a Holdsworth Fracture can vary depending on the severity of the injury and the patient's overall health. With appropriate treatment, many patients can make a full recovery.
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Contributors: Prab R. Tumpati, MD
