Your symptoms will guide your degree of movement and the pain your body can take. Signs of a burst fracture include: Moderate to severe back pain made worse by moving. Spinal Shock. You can feel the spinous process, a projection from this arch, when Symptoms. As osteoporosis progresses, the vertebrae weaken and become A burst fracture is an injury in which the vertebra, the primary bone of the spine, breaks in multiple directions. Pain that gets worse when you stand or walk. Thoracolumbar Burst Fractures are a common high-energy traumatic vertebral fractures caused by flexion of the spine that leads to a compression force through the anterior and middle column of the vertebrae leading to retropulsion of bone into the spinal canal and compression of the neural elements. Individuals with a lumbar spinal cord injury at this level will therefore have more hip and knee movement, but may lack To make an appointment call 513-221-1100. If you do have a lower back stress fracture—referred to as spondylolysis if spinal bones (vertebrae) are affected—you may have few or no symptoms. Normal treatment routines involve rest and pain medications, and a back brace is sometimes used to stabilize Aug 7, 2015 · More information on our website: https://age2b. It causes back pain, weakness and incontinence. He had continued weakness and urinary retention post-operatively and was mobilized with physiotherapy. Spondylolysis (spon-dee-low-lye-sis) and spondylolisthesis (spon-dee-low-lis-thee-sis) are common causes of low back pain in children and adolescents. A T11 injury will demonstrate itself by severe back and leg pain. Nerves are usually not damaged, but the force Nov 2, 2022 · But over time, symptoms of a spinal fracture may include: Sudden, severe back pain. Treatment is usually observation and pain management. This injury can take anywhere from 2-6 weeks to fully heal, and it generally heals fully without the need for surgery. Clavicle (collarbone). Apr 5, 2018 · Symptoms include pain in the back and sometimes in the arms or legs. Compression fractures of the spine usually occur at the bottom part of the thoracic spine (T11 and T12) and the first vertebra of the lumbar spine (L1). Common symptoms of a fracture include: Swelling, bruising, or bleeding around the area. Even though it’s classified as a fracture, a transverse process spinal fracture is more similar to a muscle sprain. As we get older, our bones weaken. A burst fracture is a descriptive term for an injury to the spine in which the vertebral body is severely compressed. It is situated in between the thoracic and the sacral part of the spine and is characterised by lordosis. The pain persisted. Most thoracic spine fractures occur in the lower thoracic spine, with 60% to 70% of thoraco-lumbar fractures occurring in the T11 to L2 region, which is bio-mechanically weak for stress. Dysplastic spondylolisthesis. Definition/Description. L1 syndrome is caused by mutations in the L1CAM gene located on the X chromosome. Lower lumbar fractures may cause solitary or multiple root deficits. If the skin is broken over the injury, the fracture may be an open fracture, which carries a greater risk of infection. Compression fractures can often be treated Mar 31, 2022 · There are many causes of middle-back pain (mid-back thoracic spine pain), some of which are more serious than others. Sometimes, a spinal fracture can also Most spinal stress fractures occur within the lower (lumbar) back area, since this is one of the most mobile and vulnerable parts of the body. If the lower back and/or leg symptoms worsen or do not improve despite these treatments, or in case of certain medical emergencies, such as tumors or cauda equina syndrome, surgery may be recommended. Intense pain that may increase with movement. The cauda equina nerves communicate with your legs and bladder. Other symptoms are: T2: Can affect the heart, coronary arteries, and chest area. The condition is sometimes also called by the shortened names, “pars defect” or "pars fracture. Feb 28, 2023 · The leading cause of osteoporosis is lack of hormones. The bone is broken, but the skin is intact. Longitudinal fractures (breaks that happen along the length of the bone). Closed fracture (also called simple fracture). Lack of movement. They often occur at the midthoracic (T7-T8) spine and the thoracolumbar junction (T12-L1). Outward turning of the leg on the side of the injured hip. Spondylolysis is a spinal defect or fracture of a bone structure called the pars interarticularis, which connects the facet joints of the spine. T12 spinal cord injury patients generally have full function in their upper limbs and trunk. Jan 15, 2017 · Hi everyone, Had a fall almost 5mnths ago, landed on my bum and resulted in an L1 compression fracture. A high amount of force is needed to cause a transverse process fracture. Diagnosis is made with radiographs of Spinal compression fractures, also known as compression fractures, happen when one or more vertebrae in the spine compress or collapse. A Chance fracture is a type of vertebral fracture that results from excessive flexion of the spine. numbness and tingling radiating down your Apr 3, 2023 · Subaxial cervical injuries are from C3-C7. The neurosurgeon says not to worry about it and that he can return to sport in six weeks. Aug 23, 2023 · The thoracolumbar spine area at T10-L2 is the most common region of the spine affected by trauma due to the specific biomechanics of this segment. Spinal cord injuries in the thoracic region are rare due to the rib cage protecting the spine. Even coughing or sneezing can cause compression fractures if you have severe Jul 22, 2016 · An L1 (first lumbar vertebra) compression fracture refers to a type of injury where the vertebra in the lower part of the spine becomes compressed and flatte Nov 2, 2010 · Investigation 10 days later revealed a compression fracture of her L1 vertebral body . The vertebral arch is a ring-shaped section that forms the roof of the spinal canal and protects the spinal cord. This condition or weakness can occur in up to 5% of children as young as Fractures. Chiropractic manipulation. Causes. Women over the age of 50 are the most likely to experience osteoporosis and compression fractures. A hairline fracture, also known as a stress fracture, is a small crack or severe bruise within a bone. Most people Aug 11, 2009 · A L1 burst fracture in a 56 year old male (a and b). Products and services. These fractures are most often the result of traumatic force—such as falls, gunshots, or physical blows—being applied to the spine. Diagnosis can be made with lateral radiographs. Osteoporosis is a natural phenomenon that occurs with aging. Injury to this area is referred to as a T1- T12 spinal cord injury, depending on the level of injury. You may also hear these being called vertebral fractures, or compression fractures. Mar 14, 2019 · Medical Reviewer Iain Kalfas, M. The lumbar spine is the part of the spine located in the lower back and is a common painful area in physiotherapy. When misaligned, this can cause pain, numbness, and soreness down the shoulder and into the arm and hands. May 5, 2022 · Femur (thigh). A spinal fracture takes between six and 12 weeks to heal. The location of the connected muscles and Mar 30, 2019 · Causes. Compression fractures are more common in the bottom part of the thoracic spine or at the top of the lumbar spine, but they can occur at any level depending on how the trauma is displaced on our spine. Usually, the pain is noticeably improved four weeks after the fracture. neck pain. Depending on the cause of the compression, symptoms may develop suddenly or gradually. Jan 15, 2021 · The area of the lower back consists of the L1 through S5 vertebral bones of the spine. Generally, there is pain around the injury, and you may be unable to move the affected area. The main symptoms of multiple compression fractures include height loss, kyphosis, and a bulging stomach. It can progress to osteoporosis. numbness or tingling in your legs and feet. The injury may also appear crooked and out of place. May 9, 2018 · L1 syndrome is an X-linked genetic disorder that occurs primarily in males. This part of the spine contains no Sep 18, 2018 · The symptoms of cancer vary widely depending on the type and stage, but general symptoms include: hard lump(s) under the skin ; swelling and pain; swollen lymph nodes; fever and night sweats or chills Aug 4, 2023 · Vertebral compression fractures (VCFs) of the spinal column occur secondary to an axial/compressive (and to a lesser extent, flexion) load with resultant biomechanical failure of the bone resulting in a fracture. Symptoms vary depending on the severity of the fracture and include pain, reduced mobility, compromised posture, loss of height, and potential nerve dysfunction resulting in bladder and bowel dysfunction. The L3-L4 spinal motion segment, positioned in the middle of the lumbar spine, plays an important role in supporting the weight of the torso and protecting the cauda equina (nerves that descend from the spinal cord). The pain might be moderate or severe. In quality, the pain was deep and aching, located in the lower thoracic and thoracolumbar region, on the left, with episodic sharp, lancinating pain around her lower ribs. Mar 31, 2021 · The symptoms that develop due to a condition between L5 and S1 vertebrae depend on the underlying pathology. Lumbosacral radiculopathy is a disorder that causes pain in the lower back and hip which radiates down the back of the thigh into the leg. Normal females have two X chromosomes, in which one is activated chromosome and the other is Dec 18, 2017 · These injuries can be severe, but they are usually not life-threatening. If the nerves in the T11 vertebrae are damaged, common symptoms include weakness and numbness in these areas. The links below explain more about spinal fractures, including their L5-S1 Treatment. It's not the same as a broken back, and it won't cause you to become paralysed. After a C5 spinal cord injury, individuals may lose all reflex activity below their level of injury and experience flaccid muscle tone due to spinal shock. My son was recently injured in a weight room accident that resulted in a C7 spinous process fracture. A corpectomy was performed, with a vertebral reconstruction with Harms cages and a screw to stabilize the cage. Symptoms, causes, diagnosis, treatment info. Estrogen for women and androgen for men. Spinal fractures. Like the other transition vertebrae, T12 vertebra pain symptoms involve severe to moderate back pain depending on the seriousness of the injury. Symptoms include numbness, pain, weakness, and loss of bowel and bladder control. Occipital condyle fractures are usually the result of high-speed trauma. The upper end of the humerus has a ball-like Open fracture (also called compound fracture): The bone pokes through the skin and can be seen, or a deep wound exposes the bone through the skin. Spinal fractures are different than a broken arm or leg, a fracture or dislocation of a vertebra can cause bone fragments to pinch and damage the spinal nerves or spinal cord. The thoracic region of the spinal cord connects to and controls the trunk and inner arm muscles, and relays sensations from skin in these areas. Injection. Some people only need a splint or cast for the bone to heal. Apr 25, 2024 · Osteoporotic Vertebral Compression Fractures are very common fragility fractures of the spine that affect up to 50% of people over 80 years old. Having reduced bone density means your bones don’t have as much mineral content as they should. Numbness. Inability to put weight on the leg on the side of the injured hip. T12 Vertebrae Pain Symptoms. Hernias. Diarrhea. [8] [9] Symptoms may include abdominal bruising ( seat belt sign ), or less commonly paralysis of the legs. Sacral spinal cord injury S1-S5. weakness in arms or legs. Patient was treated conservatively and consolidation occurred with an increase of kyphosis by 13 0 (c) At 4 year follow-up, patient is completely pain free and has returned to his previous work Mar 25, 2017 · Fractures of the thoracolumbar junction can produce a mixture of cord and root syndromes caused by lesions of the spinal cord, conus medullaris, or thoracic and lumbar nerve roots. The patient subsequently underwent a posterior arthrodesis with iliac crest bone graft and transpedicular screw placement. Immediately following a spinal cord injury, the body’s inflammatory response triggers an outbreak of biochemical reactions in an Dec 5, 2017 · T1: Can affect the arms, elbows, hands and fingers. Common vertebrae affected are T11, T12, and L1. Evidence based expert guidance is essential to ensure people with osteoporosis receive effective advice and reassurance to help manage pain and symptoms from disabling broken bones. These injuries are usually caused by osteoporosis, a condition that weakens bone. VCFs by definition compromise the anterior column of the spine, thereby resulting in compromise to the anterior half of the vertebral body (VB) and the anterior longitudinal ligament Mar 19, 2024 · Osteopenia is a loss of bone density. The sacral spine is the very base of the spinal column—a triangular bone at the end between the lumbar spine and the tailbone. Here is a listing of the common types that may happen: Greenstick. Burst fractures are usually the result of a motor vehicle accident or a fall from a great height. When the vertebrae protecting the spinal cord and spinal nerves are fractured or dislocated, bone shards can damage or pinch the spinal nerves/cord. weakness in your hands or arms. This damage is caused by compression of the nerve roots which exit the spine, levels L1- S4. The bones of the spine have two main sections. Dec 15, 2023 · Your nervous system includes your brain, spinal cord and nerves. This can lead to poor posture, pain, loss of height, and a variety of other symptoms. Much like cervical spine injuries, damage to the thoracic spine may be characterized as complete or incomplete, and Oct 15, 2020 · 2. (See Presentation . Burst fracture. This type of Jun 13, 2024 · Cauda equina syndrome is a medical emergency that happens when an injury or herniated disk compresses nerve roots at the bottom of your spinal cord. Therefore, individuals with T12 SCIs will focus on rehabilitation for the lower . Spondylolysis is a weakness or stress fracture in one of the vertebrae, the small bones that make up the spinal column. Other causes include injuries to the spine and tumors. Chiropractic adjustment of the lumbar spine may help relieve pain stemming from the L3-L4 motion segment. Spinal fractures are a common consequence of osteoporosis. Numbness, tingling and weakness. May 4, 2016 · Q & A: Spinous Process Fracture. Tibia (shin). Fibula (calf). This area is commonly referred to as the thoracolumbar junction. He is a very talented athlete, and he’s trying to get a college football scholarship. Feb 12, 2024 · The majority of fractures heal with pain medication, reduction in activity, medications to stabilize bone density, and a good back brace to minimize motion during the healing process. A fracture of the thoracic or lumbar spine causes moderate to severe back pain that is worsened with movement. Mar 31, 2017 · A compression fracture of the back occurs when the bones of your spine (vertebrae) collapse. Vertebroplasty is used most often to treat a type of injury called a compression fracture. This injury is most common in Print. Due to anatomical differences, the remainder of the spine can subdivide into thoracic levels, T1-T10, thoracolumbar junction T11-L1 (where more than half of these fractures occur), and the lumbar spine L2 to L5. Neurogenic claudication may be present with lower-extremity symptoms worsening with exercise. Reasons for this compression may include injury, osteoporosis or other medical conditions. A retropulsed fragment is any vertebral fracture fragment that is displaced into the spinal canal, thereby potentially causing spinal cord injury. This can make them weaker and increase your risk of bone fractures (broken bones). A broken back will hurt. Dec 8, 2020 · The thoracic region of your spinal cord is divided into 12 segments that innervate the muscles in your trunk. While the L3-L4 motion segment is less likely to be injured compared to its lower counterparts, it may be subject to degeneration Jun 18, 2024 · Bruising. Anterior wedge fractures are often called vertebral crush or vertebral compression fractures. Rarely, it can affect the way your nerves send messages to and from your brain through your spinal cord. This A shoulder fracture can result from a fall on the shoulder, a motor vehicle accident, contact sports, etc. 1 a & b). A spinal fracture is when a bone in your spine becomes compressed or squashed after losing strength. Severe pain in the hip or groin. Anatomy and Function of the Spine. They usually arise from the vertebral body with or without a portion of the pedicle, and are displaced posteriorly, hence the prefix 'retro'. Numbness in the limbs can occur if the spinal cord is harmed. Loss of height. This is the most common type of compression fracture. Osteoporosis is the most common cause of compression fractures. Fractures that have a single straight-line break include: Oblique fractures. Preventing and treating osteoporosis is the best way to decrease your risk for compression fractures. They typically occur from severe trauma Apr 7, 2022 · In this review, the most common site of SISF was observed in the upper lumbar spine (L1-L3), occurring in 50% of cases. The shoulder is a complex joint connecting the arm to the body. The pain in the back will come on suddenly and get worse when the person moves. 20 to 40% of the fractures are associated with neurological injuries. " The spinal cord is protected by rings of bone that make up the middle and posterior (rear) portion Symptoms. As women begin to enter menopause they also Aug 22, 2023 · A vertebral wedge fracture is when one side of your vertebra collapses, usually the front side. Apr 6, 2024 · They often occur at the midthoracic (T7-T8) spine and the thoracolumbar junction (T12-L1). You might need surgery to repair your bone. Osteoporotic fracture is an important risk factor for subsequent fracture. Luckily, it is only a temporary response. This can cause symptoms like pain, weakness, numbness or a “pins and needles” feeling in your back, arms and legs. When a compression fracture occurs, the most common symptom is pain, but other symptoms include: Spinal weakness. Below is a List of the Most Likely Symptoms: L1: Constipation. Here’s what could be happening in the lumbar region of your spine when you experience pain. I was advised by neurosurgeon to have Vertebroplasty op, which i did go for but on day of the op i was left waiting 9hrs in pre-op ward, obviously nil by mouth so no drink. Regular pain medication can help to ease the pain, such as paracetamol and ibuprofen (if you can take them). Determining the acuity of a fracture requires an MRI or bones scan. Colitis. In older patients, the chronic pain caused by vertebral compression May 23, 2022 · There are 12 nerve pairs within the thoracic spinal cord. May 5, 2022 · Signs and symptoms of a hip fracture include: Inability to get up from a fall or to walk. Trouble bending or twisting your body. If the spinal cord or nerves are involved, the patient may experience bowel/bladder dysfunction along with numbness, tingling, or weakness in the limbs. Feb 6, 2023 · pain or aching that radiates down your buttocks and into your legs. T3 vertebrae: the pectoral area in the chest. Make an Appointment. Shorter leg on the side of the injured hip. The spinal fracture service is led by three of our consultant orthopaedic spine surgeons and are supported by our senior spinal nurse practitioners, physiotherapists, orthotists and occupational therapists What is a vertebral fracture? A vertebral fracture is a break to one of the bones in your spine. Symptoms are often chronic and progressive, sometimes with periods of remission. Fractures may result in significant… Spinal cord compression can occur anywhere from your neck (cervical spine) down to your lower back (very top of lumbar spine). com/spinal-compression-fractures-ageIf the fracture is caused by a sudden, forceful injury, you will probably May 19, 2022 · 19 May 2022. If lumbar stenosis is also present, reflexes may be diminished. Muscles and ligaments are attached to this part of the vertebra. The Royal Osteoporosis Society (ROS) has published new clinical guidance for health professionals on managing the symptoms of vertebral fractures. Many different tests can diagnose if you do indeed have one of these fractures. If the entire bone breaks, rather than just the front of the vertebra, it may be called a crush fracture. Fractures located in different areas of the spine were observed in a lower percentage. Chest pain, tightness, heartburn, and soreness in these areas can occur. During the healing process, spinal bones Symptoms of a spinal fracture are sudden onset back pain that often lasts many days. Fractures have a variety of names. Spinal bones are called vertebrae. Lumbar spine fractures, as the name suggests, are always located in the lumbar spine. The fracture can be caused by trauma or by a severe muscle contraction. spinal fracture, helping to ease the pain slightly. You may also hear this called a vertebral or compression fracture. While wedge fractures are the most common type of compression fracture, there are other types as well, such as: Crush fracture. Nov 7, 2021 · SUMMARY. It is highly susceptible to injury because it is a transition area from the rigid and less mobile thoracic spine due to the attached ribs bilaterally to a more flexible caudal lumbar Apr 19, 2023 · Treatment may involve applying ice to the affected area. Spinal compression fractures typically impact the thoracic (middle back) and lumbar (lower back) regions, but they can Aug 17, 2020 · Recovery after T6 spinal cord injury typically consists of: Physical therapy will focus on improving one’s mobility through exercise. They may require anything from supportive care to Vertebral compression fractures cause back pain. A curved May 5, 2023 · The symptoms of a fracture may vary depending on how severe it is and where it is located. Pain with ambulation, numbness, tingling, inability to move a limb or feel a limb are particularly serious signs. The T12 nerve roots innervate the very lower abdominal muscles. Jul 30, 2021 · When you bend to lift an object, miss a step, or slip on a carpet, you can put your spinal bones at risk of fracture. Compression fractures of the spine generally occur from too much pressure on the vertebral body. In most cases, the pain gradually worsens, but if the bone collapses quickly, you’ll have sudden pain. [4] [10] In around half of cases there is an associated abdominal injury such as a splenic rupture, small bowel injury, pancreatic injury A wedge compression fracture is generally a mechanically stable fracture pattern. One of the most visible signs of osteoporosis is a curved back and loss of height as a result of spinal fractures. Injuries to the L1 and L2 spinal cord segments tend to cause symptoms like weakness in the hips and legs or problems with bladder and bowel control. Low back pain can be caused by a variety of reasons, such as muscle tightness, a fracture, arthritis, a disc herniation, or stenosis. Mar 25, 2017 · A 37-year-old man who underwent an anterior approach for an unstable L1 burst fracture. A physical therapist will assess the individual’s functional abilities and create a custom exercise regimen to target weak muscles, stretch spastic muscles, and improve range of motion. In both cases, the pain can be severe and limit your ability to move. A comprehensive approach to the spine and compression fracture is essential for the best clinical outcomes and results. Since this ligament contains nerves, the result is pain This can either be the direction a break goes (if it’s a straight light across your bone) or its shape (if it’s more than a single line break). Fractures may result in significant back pain, limited physical functioning and activities of daily living, and can lead to loss of independence, depression, and chronic pain. If you have osteopenia, your bone density is lower than average. Dysentery. The majority of these fractures occur without spinal cord injury. Nov 19, 2021 · Pain is in the low back and posterior thighs. Joint or disc-related symptoms: Symptoms originating from vertebral conditions, vertebral joint conditions, and disc-related issues at L5-S1 are, localized lower back pain and difficulty while performing certain daily activities. Apr 6, 2020 · Symptoms. numbness in arms or legs. If the compression fracture also pinches a nerve, you may experience tingling, numbness, or muscle weakness in your arms Jan 24, 2022 · Spinal problems that may cause digestive issues include spinal cord injuries, herniated disks, tumors, and ankylosing spondylosis. Conditions affecting the L5-S1 spinal motion segment are usually treated with nonsurgical methods. A spinal hemangioma sits on your spine. Over time, a compression fracture can make you slightly shorter Physical therapy is usually performed under the guidance of a physical therapist and may include exercises, stretches, manual therapy, massage, and/or other treatments. Spine compression fractures generally occur from too much pressure on the vertebral body. Broken skin with bone protruding. It can be caused by carcinoma, lung cancer, irritated spinal cord, low bone density, and other issues that affect the heart, lungs, kidneys, and gastrointestinal tract. Quick surgical treatment may prevent permanent complications. The cause of the muscle spasm lies in the fact that the bulging disc is pressing against the ligament that holds it in place. The shoulder bones include the humerus (upper arm bone), the scapula (shoulder blade) and the clavicle (collarbone) (Figure 1). D. The bones that make up your spine, called vertebrae, can weaken to the point that they crumple and collapse, which may result in back pain, lost height and a hunched posture. ) Skin overlying the fracture should be inspected for abrasions or contusions. 5 days ago · Citation, DOI, disclosures and article data. The vertebral bodies are the round blocks of bone that form the front part of the spinal column. Jul 7, 2024 · This fracture is a break or crack in one of the wing-like sides at the back of a vertebra. Fractures located in the midthoracic region (T5-T8) were the second most common location and were present in 35% of patients. Humerus (upper arm). This can make elderly patients shorter and lead to a rounded back, a hump, or a bent-forward look to the spine. Compression fractures of the spine usually occur at the bottom of the thoracic spine (T11 and T12) and the first vertebra of the lumbar spine (L1). May 17, 2021 · Possible long-term effects of spinal compression fractures include: Chronic pain. Treatment and management of spinal-related digestive issues Apr 8, 2018 · The fracture typically occurs at the level between the upper and lower back, known as the thoraco-lumbar junction. This topic will review the clinical manifestations, diagnosis, and management of acute osteoporotic vertebral compression… compression fractures are the most common type of osteoporotic fracture. Transverse fractures are almost always caused by traumas like falls or car accidents. When the vertebrae in the spine weaken, they can narrow and become flatter. Q. Deformity. An abnormal gene on the X chromosome causes X-linked disorders, such as L1 syndrome. Inability to empty the bowel or bladder properly, if the spinal cord is involved. May 16, 2022 · L3 Spinal Cord Injury. Vertebral fractures are usually followed by acute back pain and may lead to chronic pain, deformity (thoracic kyphosis, commonly referred to as a dowager's hump), loss of height, crowding of internal organs, and loss of muscle and aerobic conditioning due to lack of activity and exercise. Numbness and tingling. L3 spinal nerves affect sensation at the front portion of the lower thighs and knees, as well as the ability to straighten the knees (knee extension) and rotate the hip outward (external rotation). A compression fracture is a type of fracture or break in your vertebrae (the bones that make up your spine). This usually results from a combination of bending forward Symptoms. However, early treatment is crucial to the prognosis of lumbar spine injuries and subluxations. Transverse fractures. Bruising and swelling in and around the hip area. Radius and ulna (forearm). pain that radiates down the arms or legs (radiculopathy) Dec 20, 2019 · The fracture was felt to be unstable and due to spinal cord compression, the patient was taken to the operating room (OR_) for decompression via laminectomies from T12-L1, followed by T11 to L3 instrumented stabilization (Fig. T4, T5, T6, T7, & T8 vertebrae: the remaining muscles in the chest and trunk of the body. Nov 15, 2022 · Vertebroplasty is a treatment that injects cement into a cracked or broken spinal bone to help relieve pain. Causes and Risk Factors. Over time, multiple fractures can cause the main portion of the vertebrae (the bones that make up the spine) to collapse, causing a great deal of pain and even altering the shape of your spine. rw uh jb hg cw za wt yd hd wo