Support : A Broken Back

A Broken Back - What Happens?

When an injury occurs in the back area of the spine, and the individual vertabrae become fractured or dislocated, the back can be described as broken.

The back portion of the spine consists of four areas, the Thoracic, Lumbar, Sacral and Coccygeal. The Sacral and Coccygeal areas are fused together as one bone.

The vertebrae are refered to by their name and number, counting down from the top of the spinal column as follows:The cervical vertebrae are C1 - C7, the thoracic vertebrae are T1 –T12 and the lumbar vertabrae are L1 – L5. The sacrum and coccyx do not have numbers and each is thought of as one bone, however, the sections are refered to in relation to which nerve roots exit the vertabrae.

These 22 sections form the mid to lower portion of our “backbone” and they also serve to protect the spinal cord from injury. If the vertebrae are broken or severely dislocated, but the spinal cord is unharmed, then no neurological problems result. People with this type of injury are treated very carefully while the bones heal to avoid damage to the spinal cord.

If the spinal cord is bruised or partially damaged due to swelling or laceration, then paraplegia or other neurological problems may occur.

If you think someone could possibly have a spinal injury, DO NOT move the injured person even a little bit, unless it is absolutely necessary (like getting someone out of a burning car).

If you are in doubt about whether a person has a spinal injury, assume that he or she DOES have one.

First Aid

The main goal is to keep the person immobile and safe until medical help arrives.

1. You or someone else should call paramedics.
2. Hold the person's head and neck in the position in which they were found.
DO NOT attempt to reposition the neck.
Do not allow the neck to bend or twist.

If the Person is Unresponsive

1. Check the person's breathing and circulation. If necessary, begin rescue breathing and CPR.
2. DO NOT tilt the head back when attempting to open the airway. Instead, place your fingers on the jaw on each side of the head. Lift the jaw forward.

If You Need to Roll the Person

Do not roll the person over unless the person is vomiting or choking on blood, or you need to check for breathing.

1. Two people are needed.
2. One person should be stationed at the head, the other at the person's side.
3. Keep the person's head, neck, and back in line with each other while you roll him or her onto one side.

Do Not

DO NOT bend, twist, or lift the person's head or body.
DO NOT attempt to move the person before medical help arrives unless it is absolutely necessary.
DO NOT remove a helmet if a spinal injury is suspected.

Support : A Broken Back