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L1 Fracture - No brace?

Kewalk90KKewalk90 Posts: 1
edited 01/06/2015 - 6:12 AM in Osteoporosis and Fractures
Hello everybody

I am in my early twenties and a month ago I had a riding accident and suffered a minimally displaced L1 fracture.

I was x rayed and CT scanned, kept in for one night, X rayed again and then discharged. I was given the advice to rest, no heavy lifting, minimal bending and only exercise was to go for walks. I was given pain killers and anti-inflammatories. I was not fitted with a brace.

I have just been for my follow up x-ray (one month on) and told that there is further collapse of my L1 vertebrae and my spine is now "at an angle" as opposed to curved at Thoracic-lumbar junction.

I have been told to continue as I am - rest and walking with possibility of swimming if i am not feeling pain. I have been told that I will probably not be back on a horse for a year, due to the nature of my fracture, which is a major blow as I ride for work and pleasure.

My question is - should i have been fitted with a brace to help prevent further collapse? Would this have sped up my recovery? I have not read of anyone who had an L1 fracture that was not fitted with a brace.
Are there any exercises I can do without risking my spine? I am really struggling with having lost a lot of my independence and feel I am not making the progress that id hoped I would.

Thanks very much.


  • LizLiz Posts: 7,832

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Theresa559TTheresa559 Posts: 4
    edited 03/08/2015 - 7:17 PM
    I shattered my L1 on 3/25/14. I had to have surgery that day because it was not stable. Then 3 months later because my spine had started to rotate and the vertebra was pushing out I had another. I was in a brace until the first of this year. If I were you I would get another opinion FAST! I have 2 rods in my back to stabilize my spine. I am still in pain and just had some injections in my L 4 & 5 because of low back pain. DO NOT MESS WITH THIS. GO GET ANOTHER OPINION!!!!!
  • I would seek another opinion also. a brace I would have thought would be the minimal they would do.
  • As a radiographer who takes the xrays and scans I too fractured L1 on holiday. My consultant who I trust indefinately told me a brace would reduce the strength of my core. If a fracture is managed conservatively the most important aspect of recovery is a strong core, to maintain your posture, otherwise the muscles etc. involved will fail and further displace/angulate your spine. Hope this helps! A year on after 50% loss of vertebral height I am still to have a day off work and can do almost all the things I used to love. Pilates will save you x
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