Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

COMPRESSION FRACTURE of T7,T9 in xray. OSTEOPOROSIS/CANCER?

Resolved Question:

One day, my friend was dying my hair then my back was sore. Over time, my back became more and more sore. I went and got x-ray's done and it turns out I have mild compression fractures in the T7 and T9. I don't remember an injury and I'm only a 26 year old female. I am very stressed and worried I could have cancer or maybe osteoporosis? Also, three months ago I got a stress fracture in my foot from training for a half marathon.


Category: Orthopedic Surgeon

Ask Your Own Question

Category: Spine Surgeon
 23 Doctors Online

Expert:  Dr. Mukesh Tiwari replied 4 Days ago

Hello,
Thank you for your query at DoctorSpring.com
I have read your question with diligence.
It is not very common to have fracture of thoracic vertebrae without reason at your age.As you also had a recent fracture then it looks that you may have either vitamin D deficiency or severe grade of osteoporosis.At first instance i will advice you to have your vitamin d levels checked.You should have blood estimation of vitamin D ,serum calcium ,serum phosphorus & serum alkaline phosphatase levels.You should also have test for BMD which checks the osteoporosis.
At this stage you should get your self evaluated from your orthopaedic doctor without delay. Kindly get back to me with the reports and I will guide you further.
Hope this all will help you.
With best wishes.


Patient replied :

Hi, I got some blood tests and a DEXA scan. My doctor said the results came back and I have strong bones and no osteoporosis. She told me I don't need any other referrals (she is my primary doctor). Do you agree? Also, I seem to hear my back cracking a lot lately. I'll attach blood results.


Expert:  Dr. Mukesh Tiwari replied 3 Days ago

From your report it is evident that you has low serum vitamin D level.I have not received reports of serum alkaline phosphatase.Looking at this report it looks that some type of physical stress at work or in routine may only be the cause of your compression fracture at T7/T9.If you did not had any excessive physical stress then you should have a MRI scan to check that T7/T9 had fractured or there was other reason for that.
Regards.


Patient replied :

I had an MRI done, and they found a disc spur complex. What does that mean? Should I ask for a referral to a specialist? I attached results.
Narrative
EXAM: MR T-SPINE WITHOUT CONTRAST
EXAM DATE: 2/26/2015 4:45 PM
COMPARISON: None.
INDICATION:
Mid back pain.
TECHNIQUE:
T2 cervical and thoracic localizer. T1, T2, and fat-suppressed sagittal and T1 and T2 weighted transaxial images.
FINDINGS:
The cervical spine shows no significant abnormality. The spinal cord is intact. No active fracture is seen. Scattered Schmorl's nodes are seen in the mid and lower thoracic spine.
There is a posterior disc spur complex indenting into the anterior aspect of the spinal cord, T8-T9. Slight deformity of the anterior surface of the spinal cord is seen due to disc spur complex at T11-12. Other scattered degenerative spurs are appreciated.
Multiple tiny cysts are seen in the left kidney with a single dominant cyst in the posterior aspect of the right kidney. No other paraspinal mass is seen in the aorta is unremarkable.
CONCLUSION:
NO ACTIVE FRACTURE. OLD SCHMORL'S NODES.
DISC SPUR COMPLEXES PRODUCING SOME CORD DEFORMITY, T8-T9 AND T11-T12.
Final Report Electronically Signed By: Arthur Dublin, M.D. on 2/27/2015 8:01 AM


Expert:  Dr. Mukesh Tiwari replied 2 Days ago

I have read your reports.It looks that you are having mild compression of your cord at thoracic region.The thoracic spine have less space for cord so any compression at this level may produce early neurological symptoms in distal area.You may ask for specialist referral on this ground.
It is better to review your reports with a neurologist.
Hope this will help you.


Dr. Mukesh Tiwari
Category: Spine Surgeon
Experience: 
Fellowship - Khandaka Hospital, Jaipur
Residency - MS, Rabindranath Tagore Medical College, Udaipur, 2000
Medical School, Internship - MBBS, SMS Medical College, Jaipur, 1995
Dr. Mukesh Tiwari and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news