Answered by SecondMedic Expert
Orthopedic Surgeon · Back Pain and Spinal Surgery
A floating mass spinal fracture is a type of injury that occurs when one or more vertebrae are broken, but the fracture line does not extend completely through the vertebral body. This means that there is still some stability within the vertebra and it can keep its original shape with only some parts breaking off or becoming detached. The most common type of floating mass spinal fractures are flexion-distraction injuries, which occur due to a high impact force in an accident such as a motor vehicle collision. These types of fractures often happen when two vehicles have collided head-on and damage has been done to the occupants' spines due to the rapid acceleration and deceleration forces applied during impact.
The signs and symptoms associated with this type of injury can vary depending on where exactly in the spine it occurred, but generally include severe pain (often radiating from back to front), difficulty moving around, numbness/tingling sensations in certain regions, changes in control over bodily functions if nerves were injured during impact, and possibly even paraplegia for extreme cases where major nerve damage has happened near lumbar level (lower back). Diagnosis typically involves performing X-ray images along with CT scans combined with medical history gathering; physical evaluation will also be performed by physicians so they can make sure that no other secondary injuries were acquired while treating them for their primary injury. Treatment options will depend on how serious the patient's situation is; milder cases may just require rest while more serious ones may require physical therapy or even surgery should reconstruction being necessary at any point involving nerve or muscle repair work.