Can You Still Grow Taller After a Compression Fracture? - Orthopedics

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Can someone with a history of compression fractures still grow taller?


I am currently in the ninth grade.
During the second semester of the seventh grade, I suffered a compression fracture in the last two segments of my spine.
I used to grow an average of 9 centimeters per year, but in the eighth grade, I only grew 5 centimeters.
For a while, I was drinking high-calcium milk every day, consuming a lot of protein, calcium, and magnesium, playing basketball, and getting sun exposure.
Now, six months have passed, and it's been almost a year, but my height has remained at 165.8 centimeters.
Can I still grow taller? What should I do and what should I eat to promote growth?

Chen Tongxue, 10~19 year old female. Ask Date: 2017/10/21

Dr. Li Yongheng reply Orthopedics


Hello: Compression fractures of the last two vertebrae actually have little impact on height.
Drinking high-calcium milk daily, supplementing with plenty of protein, calcium, and magnesium, playing basketball, and getting sunlight are very beneficial for growth.
Additionally, it is recommended to go to sleep before 11 PM as much as possible to avoid affecting the secretion of growth hormone.
Wishing you all the best in achieving your goals.

Reply Date: 2017/10/21

More Info


Experiencing a compression fracture, especially in the spine, can raise concerns about growth and overall health, particularly during the critical growth years of adolescence. The spine consists of vertebrae, and a compression fracture occurs when one or more of these vertebrae collapse due to trauma, osteoporosis, or other conditions. This type of injury can potentially affect growth, but it is essential to understand the underlying factors involved.

Firstly, during adolescence, the body undergoes significant changes, and growth plates (epiphyseal plates) in long bones are still open, allowing for height increase. However, if a compression fracture occurs in the spine, it may impact the overall posture and alignment of the vertebrae, which can indirectly affect growth. The spine's health is crucial for maintaining proper posture and alignment, which can influence how tall one appears. If the vertebrae are compressed, it may lead to a decrease in height or a hunched posture, which can create the illusion of being shorter.

In your case, you mentioned that you were previously growing at an average rate of 9 cm per year, but after the fracture, your growth rate decreased significantly to 5 cm. This change can be attributed to several factors, including the injury itself, changes in physical activity, and possibly psychological factors such as stress or anxiety related to the injury. It is also important to consider that growth rates can naturally fluctuate during adolescence, and a slower growth rate does not necessarily indicate a permanent change.

To promote healthy growth after a compression fracture, consider the following recommendations:
1. Nutrition: Ensure you are consuming a balanced diet rich in essential nutrients that support bone health and growth. This includes adequate protein, calcium, vitamin D, magnesium, and zinc. Foods such as dairy products, leafy greens, nuts, seeds, fish, and lean meats are excellent sources of these nutrients.

2. Physical Activity: Engage in regular physical activity that is appropriate for your condition. While high-impact sports like basketball can be beneficial, it is crucial to avoid activities that may exacerbate your injury. Focus on low-impact exercises such as swimming, cycling, or yoga, which can help strengthen muscles without putting excessive strain on your spine.

3. Posture and Spine Health: Pay attention to your posture, especially while sitting or standing. Good posture can help maintain spinal alignment and may contribute to a more favorable growth environment. Consider consulting a physical therapist or a chiropractor for exercises that can improve your posture and spinal health.

4. Follow-Up Care: Regular follow-ups with your healthcare provider are essential to monitor your recovery and growth. If you have concerns about your growth or the healing process, discussing them with a specialist can provide clarity and guidance.

5. Mental Health: Address any psychological factors that may be affecting your growth. Stress and anxiety can impact overall health and well-being, so consider engaging in activities that promote relaxation and mental wellness.

In conclusion, while a compression fracture can influence growth, it does not necessarily mean that you will stop growing altogether. By focusing on proper nutrition, engaging in suitable physical activities, maintaining good posture, and seeking regular medical advice, you can support your body in its healing process and potentially continue to grow taller. Remember that growth patterns can vary widely among individuals, and patience is key during this time.

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