Lumbar Spine Fractures and Severe Injury Claims - Neurosurgery

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Lumbar spine issues


A burst fracture of the second lumbar vertebra with spinal cord injury resulting in paralysis of both lower limbs is considered a severe injury.
It is also possible to apply for a major disability card in this case.

A Tong, 20~29 year old female. Ask Date: 2021/10/13

Dr. Lai Zhaokang reply Neurosurgery


Hello: Paralysis of both lower limbs is considered serious.
However, whether it qualifies as a "severe injury" or for "application for major illness" requires returning to the original hospital for consultation with the attending physician and reviewing the medical records for assessment.
Wishing you well from Changhua Hospital.

Reply Date: 2021/10/13

More Info


Lumbar spine fractures, particularly those classified as burst fractures, represent a significant injury that can lead to severe complications, including paralysis of the lower extremities. A burst fracture occurs when a vertebra is severely compressed, causing it to shatter and potentially fragment into the spinal canal, which can lead to spinal cord injury. In your case, the presence of paralysis in both lower limbs indicates a serious injury, and it is classified as a major injury or severe injury under many medical and legal definitions.

To address your specific questions:
1. Classification of Severe Injury: Yes, a burst fracture of the lumbar spine that results in paralysis of the lower limbs is considered a severe injury. This classification is based on the impact on the individual's functionality and quality of life. Severe injuries often involve significant physical impairment, chronic pain, and the need for extensive rehabilitation or long-term care.

2. Eligibility for Major Illness Card: In many jurisdictions, individuals who suffer from severe injuries, such as paralysis due to a spinal injury, may be eligible for a major illness card or similar benefits. These cards are typically designed to provide support for individuals with significant health challenges, allowing for access to medical care, rehabilitation services, and sometimes financial assistance. The specific criteria for eligibility can vary by region, so it is essential to consult local health authorities or social services to understand the requirements and application process.

3. Legal and Insurance Considerations: If the injury was the result of an accident, such as a car crash or workplace incident, there may be grounds for a personal injury claim. Legal definitions of severe injury can vary, but the presence of paralysis and the need for ongoing medical care will likely strengthen a claim for damages. It is advisable to consult with a personal injury attorney who specializes in spinal injuries to explore your options for compensation, including medical expenses, rehabilitation costs, lost wages, and pain and suffering.

4. Rehabilitation and Recovery: The road to recovery from a lumbar spine burst fracture with paralysis can be long and complex. Rehabilitation typically involves physical therapy to improve mobility, strength, and function. Occupational therapy may also be necessary to assist with daily living activities. The extent of recovery can vary significantly from person to person, depending on the severity of the injury, the effectiveness of the rehabilitation program, and the individual's overall health.

5. Psychological Impact: It is also important to consider the psychological impact of such a severe injury. Many individuals experience emotional challenges, including depression and anxiety, following a life-altering injury. Psychological support and counseling can be beneficial in addressing these issues and aiding in the overall recovery process.

In summary, a burst fracture of the lumbar spine resulting in lower limb paralysis is indeed classified as a severe injury. You may be eligible for a major illness card, and pursuing legal action for compensation may be advisable if the injury resulted from an accident. Engaging with healthcare professionals for rehabilitation and psychological support will be crucial in navigating the recovery journey. Always consult with medical and legal professionals to ensure you receive the appropriate care and support for your situation.

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