Spinal Fracture

Clinical Features

Spinal fracture may be an option in MSRA EMQs/SBAs in patients with back pain. Suspect spinal fracture in the context of the following clinical features. 

• Sudden onset, severe central back pain which is worse on standing/activity and relieved by lying down 
• Causes: Trauma, osteoporosis
• Examination: Point tenderness over the affect vertebra