Brazil Star Player Fractures Spine

Brazilian star Neymar was injured today while playing soccer.  According to his physician, he has an injury that can be treated without surgery.  Many back fractures can be treated with bracing and immobilization.  The most common of these are:
  1. Pars interarticularis (“pars”) fracture – This is a fracture of the connection between two levels in your spine.  The spine is actually composed of 24 individual segments of the spine (7 cervical, 12 thoracic, and 5 lumbar) followed by the sacrum and coccyx at the end of the spine.  Each of these levels is connected to the next and prior level through joints.  The pars is part of that connection between two levels (between the superior and inferior articular process).   These fractures can create an unstable spine, but in many cases can be treated with bracing.  Sometimes these are found as stress fractures.
  2. Spinous process fracture – The spinous process is the part of the spine that you can feel as bumps on your back.  These are benign and heal with time and typically do not require surgery.  Commonly, these are caused by sudden contractions of the muscles in your spine.  They can be associated with fractures of the lamina, which need closer examination for surgery and can lead to injury to the nerves.
  3. Transverse process fracture – The transverse process is the “wing” of the vertebral body.  These are also benign and heal with time and do not require surgery.
  4. Compression fracture – This is the fracture commonly seen in elderly patients with osteoporosis.  In these fractures, the body is crunched down, much like stepping on an empty coke can.  These can be treated with a kyphoplasty (insertion of cement into the fractured part of the bone) or with bracing depending on the symptoms and desires of the patient.  A kyphoplasty is typically very well tolerated and has very good pain relief either immediately or within a few days.  This is done as an outpatient.  A more severe form of a compression fracture is a burst fracture, and these can require surgery if the fracture is pushing on nerves and causing numbness, tingling, or weakness in the legs or arms due to the fracture.
  5. Facet fracture – These are the joints of the spine. Facet fractures can be unstable and require surgery.  Sometimes the joints can dislocate in association with a fracture and this will require surgery and can lead to injury to the spinal cord or nerves.

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Jeff TuffsJeff Tuffs
16:55 13 Apr 22
Very professional, and the conversation was understandable to even a layman. They didn’t try to push an agenda, but instead provided options.Very satisfied with my visit.
Yesenia MartinezYesenia Martinez
16:42 04 Apr 22
Thank you Everyone from Texas Spine & NuHope for offering what was needed in the process of a journey & a chapter of my life. With the hope and believing God was with me every step of my journey. I was bless to meet Dr. Adam Bruggeman as my spine doctor/surgeon & his medical team assistants, the care that was much needed!The surgery was a success, recovered well, was active again going back to the gym faithfully but after 2 years feeling pain again due to alarming physical and mental pain.By the Grace of God I am healed in not needing a second surgery that was going be quite different than the laminectomy surgery.God is Good. I thank God for medical teams and doctors that have the knowledge and guidance with the gift of helping others that are in need of Medical Necessity, God bless you All.Do not have fear of what God is able to do and what a surgery can do that is needed to live a better lifestyle to reduce the pain or have no pain at all.Thank you.-Yesenia
Lupita FloresLupita Flores
18:43 11 Mar 22
I have had 2 surgeries with Dr. Bruggeman and have done well. Dr Paredes is very courteous, professional, and treats us like family. All the staff is super friendly. I highly recommend this practice.
Mario GonzalezMario Gonzalez
20:16 28 Feb 22
This was my first time surgery and I was confident to leave this kind of surgery on Dr Adam Bruggeman.
Heather BlakleyHeather Blakley
12:04 01 Feb 22
I could write a novel but will try to be brief. I spent a large portion of my life ignored for the serious pain I lived with and Dr. Bruggeman discovered exactly what I was living with. It’s a rough road but he has made such a huge difference in my quality of life. I thank God I am in his care. His staff is hands down the best I have ever experienced. Dr. Bruggeman and his staff are all smart, kind, professional and there to help in every way. God bless you.
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