spine case
Ralph Nobbe
Description
Collection
Title:
spine case
Creator:
Ralph Nobbe
Date:
7/22/2004
Text:
Have been referred a somewhat challenging case. Looking for ideas.
85yo frail, moderately obese, hyperkyphotic, female, fell 4 months ago and
ended up with T,5, 7 and T12 compression fx along with a coccygeal fx. (Fell
backwards on a stairwell and ended up landing on butt and head and shoulders
got wedged against? under? hand rail on landing. EMT's had to extract her)
Presented to ER two nights ago with intractable pain. Had a decompression
laminectomy yesterday at T7 level. Fractures are stable with subtle
compression noted. Any suggestions to to stabilize T5 against forward
flexion? Seems to primary pain center following the T7
decompression.Considered using a long dorsolumbar type corset but extensive
scarring following radical mastectomy 15+ years ago may create a tolerance
issue. T12 being managed well with long corset at this time.
Ralph W. Nobbe, CPO
President
Nobbe Orthopedics, Inc.
<Email Address Redacted>
85yo frail, moderately obese, hyperkyphotic, female, fell 4 months ago and
ended up with T,5, 7 and T12 compression fx along with a coccygeal fx. (Fell
backwards on a stairwell and ended up landing on butt and head and shoulders
got wedged against? under? hand rail on landing. EMT's had to extract her)
Presented to ER two nights ago with intractable pain. Had a decompression
laminectomy yesterday at T7 level. Fractures are stable with subtle
compression noted. Any suggestions to to stabilize T5 against forward
flexion? Seems to primary pain center following the T7
decompression.Considered using a long dorsolumbar type corset but extensive
scarring following radical mastectomy 15+ years ago may create a tolerance
issue. T12 being managed well with long corset at this time.
Ralph W. Nobbe, CPO
President
Nobbe Orthopedics, Inc.
<Email Address Redacted>
Citation
Ralph Nobbe, “spine case,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 26, 2024, https://library.drfop.org/items/show/223440.
