Conversation: The conversation between human and AI assistant.
[|Human|] I have some pain in back bone and I am using Caleat-KD, zerodol- MR and M-pan D I have fell down from hight nearly 9 feet and there is no fracture for spinal card, but brust fracture of L1 vertebra with involment of anterior and middle columns. Posterior column is intact. 25% decrease in anterior body hight.
[|AI|]  Hello, I have studied your case. I will advise you MRI spine and if there is any cord compression with lower limb weakness then you may need decompression. If anterior wedge of L 1 is unstable then you may need fixation. You need decompression if fracture is compressing spinal cord. Decompression is necessary if neurological deficit or bladder involvement is there. If there is no neurological involvement then conservative brace or rest is sufficient minimal wedge compression just bed rest is sufficient. Later on follow rehabilitation and physiotherapy. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.