Conversation: The conversation between human and AI assistant.
[|Human|] I fractured my L1 from anterior to posterior and crushed it 40% I am still experiencing back ache 6 months later and many routine activities exacerbate the pain level..back stiffening, sometimes throbbing pain etc. Is this normal..how long may that continue.
[|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 L1 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. It may take longer time to heal. 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.