Compression fracture of the first lumbar vertebra in the elderly

If CT does not show bone fragments in the lumbar spinal canal, no neurological symptoms, and is accompanied by severe osteoporosis and other serious medical diseases, and cannot be operated**, you can also stay in bed conservative**, the time may need to be longer, and you can also customize a brace to protect early walking. The bone block in front of the vertebral body generally does not need to be treated Age is generally not the main problem, the main thing is whether the elderly have cardiovascular and cerebrovascular, diabetes and other medical diseases, and the internal medicine and anesthesiology department need to evaluate the risk of surgery, if you simply open the neuraxial decompression surgery, at most 1 hour, the bleeding will not be much, if you want to carry out neuraxial decompression, there is generally more bleeding, and the elderly who are usually not in good health should think twice I don't think the doctor meant to say that you can't walk, you should say that you should avoid weight-bearing walking at present, In order to avoid the occurrence of lumbar kyphosis deformity or late-onset spinal stenosis in the future, if you really don't want to operate, it is recommended to stay in bed for 3 months, if you really can't lie down, it is best to customize a brace and then walk on the ground. In fact, many elderly people have multiple thoracic compression fractures caused by hunchback, if the vertebral body collapses no more than half, there is no bone in the spinal canal, there are no nerve symptoms, and surgery can also be done.

Osteoporotic compression fracture in the elderly, ** methods are generally as follows:

Conservative**, absolute bed rest, oral medication, **osteoporosis, this method is long and low-cost, but there are many complications in bed rest, difficult to care, and great pain for patients.

Vertebroplasty, safe and minimally invasive, you can go to the ground 24 hours after the injection of bone cement, the hospital stay is 3-5 days, and the cost is not high, PVP (vertebroplasty) is about 5000 for a simple case, and about 30,000 for PKP (kyphoplasty) ** if you are required to restore the vertebral body height.

Surgery**, which requires the use of special osteoporotic internal fixation materials, is traumatic and risky, and the cost is also very huge, and the hospital stay is about 20 days.

In summary, PVP ** is recommended.

First of all, I was 75 years old and had this kind of surgery. Generally speaking, even if the surgery goes well, it will be very troublesome in the future. As seniors, their Google self-healing ability is inherently poor. So the danger is not low.

It is best to stay in bed, the lumbar spine is the weight-bearing part of the human body, and when you stand up, you have to compress, even compress the nerves.

If there are no symptoms of nerve compression, such as low back pain, lower limb pain and numbness, then bed rest is sufficient, pay attention to sleep on a hard bed, and lie down for three months.

If there are the above symptoms, then it means that the fracture fragment has pressed the nerve, and the conservative **including traditional Chinese medicine** is ineffective, and it is recommended to go to surgery, reduce the fracture, and then fix it. Nerves are very fragile things, and if they are suppressed, they will slowly degenerate and die if they are not in time, and there is no way to repair them in the future.

If there are no obvious symptoms of nerve compression, such as numbness and weakness in the lower limbs, lying down and resting is sufficient. There is a problem that the first lumbar vertebra is exactly where the conus medullaris is located, where the compression may affect the urine and bowel movements, and finally if it causes urinary retention, it is very troublesome to catheterize for a long time, and the elderly are bedridden for a long time, and it is easy to develop urinary tract infection. Therefore, you should take into account the symptoms of the elderly, if there is a fracture that protrudes into the medullary cavity and compresses the nerve, please be hospitalized for surgery as soon as possible**.

The efficacy of traditional Chinese medicine special effect elderberry ** vertebral compression fracture is quite good. The patient can rest on his back, cannot sit, can stand upright, or take a few steps less.

The free bone fragment in front of the fracture is compressed and must be surgically fixed back into place. A vertebral fracture of this size, accounting for one-half, must be operated on, otherwise it will be paralyzed. The age is older, and if the elderly have met the indications for surgery and are in good health, they can do it.

Hospitalization is hanging water, and traditional Chinese medicine still has advantages in fractures, but the diagnosis still depends on Western medicine. For the elderly with compression fracture of the first lumbar vertebrae, I recommend lying on a hard bed for three months, wearing a lumbar belt around the waist, and taking injury medicine and some anti-inflammatory painkillers. Lumbar 5 next to the right transverse process, which is equivalent to the right ureteral walking area, can be seen in the mass of high-density shadow plus color ultrasound and urine analysis of the kidney.

It may be a kidney problem, and if you can't find it, you have to do abdominal CT. Older people don't have to have surgery when they're 75 years old.

Get some bone medicine to eat, it basically costs 4-60,000 yuan for surgery, and 30,000 yuan for 1 piece of titanium alloy, and the old man can't resist the big knife! --A patient with chest 12-1-waist 2 injury.

Surgery** (preferably within two weeks of the fracture) may be preferred, as fracture reduction may be more desirable and early postoperative mobilization can be achieved. You can also choose to be conservative**, but you may stay in bed for a long time, and kyphotic deformity may be left.

The First Affiliated Hospital of Guangzhou University of Chinese Medicine - Spine Specialist - Chief Physician of Jin Daxiang.

Analysis: Hello, after injury, bone regeneration mainly depends on the role of periosteum and bone marrow, and this senile compression fracture is mostly caused by trauma.

Guidance: It is recommended that this condition requires bed rest, urine and diet need to be done in bed, and acupuncture can be used to remove the muscles around the fracture to achieve the purpose of loosening the surrounding soft tissues.

You can try the Shenji Crane ancient sticker, posted for more than a month, the effect is not bad, but it is a little expensive, but the effect is OK.

Fracture patients need to be supplemented with zinc, iron, manganese and other trace elements. Foods mainly include animal liver, seafood, mushrooms, eggs, beans, green leafy vegetables, cereals, mustard greens, cheese, etc., fracture patients can eat more appropriately. But there is one point to mention, that is, do not smoke, it can damage the healing ability of the wound.

Pay more attention to rest.

Suggestions: In addition to appropriate ** after the occurrence of fracture, a good diet can promote the early healing of fractures. Especially for the elderly, who are weak, osteoporosis, and weak limbs, the diet and nutrition after fracture are more important.

The patient is relatively old, after the lumbar vertebra fracture, if it is just a way to rest and sleep in the bed at home, then the growth of broken bones is very slow, and the broken bones can not be completely healed in a short time, and the affected area will naturally leave pain and discomfort and other sequelae for a long time.

For lumbar compression fracture in the elderly over 70 years old, they can stand on the ground after 20 days of using folk Chinese herbal medicine in time, and they can basically do it in about 50 days, and the affected area will not leave pain and discomfort after the fracture is healed. Now the delay is too long, then it needs to be extended a little longer, I wish the patient a soon**!

Compression lumbar fracture is a very common type of spinal injury in our lives, mainly caused by some trauma. Let's introduce you to compression lumbar vertebral fractures.

Method steps.

First: thoracolumbar compression fracture, generally refers to the compression of the anterior half of the vertebral body (anterior column) caused by anterior flexion, the vertebral arch (posterior column) at the back of the spine is normal, and there is a traction injury with less tremor slag. The vertebral bodies are usually wedged, which is common in general, but it is not good**.

Second: thoracolumbar compression fractures are mostly caused by trauma, and osteoporotic fractures in the elderly are also mostly compression fractures. The latter usually suffers mild injuries, but can also be manifested as stress fractures, i.e., the accumulation of repeated light lease injuries.

Pathologic fractures usually refer to bone tuberculosis, bone tumors that invade the vertebrae to cause minor injuries, or fractures that are not caused by trauma. Need to be timely**.

Third: thoracolumbar compression fractures are more common in the lower thoracic and upper lumbar segments. A careful history of injury should be obtained, as patients complain of back pain, inability to move, and may be impeded from standing and walking.

If compression is severe, the spinous process or ligament of the posterior column is damaged, resulting in a focal kyphotic deformity or swollen ecchymosis. Most are stable fractures.

Precautions. Compression lumbar fractures are generally taken with X-rays, and if a fracture is found, it needs to be received in the hospital as soon as possible**.

The method of lumbar compression fracture** varies according to the age group, and minimally invasive surgery can be considered for older patients. For example, percutaneous kyphoplasty, called bone cement**, has the characteristics of less trauma and faster recovery, and at the same time, it is possible to get out of bed and walk the next day, but it is best to take anti-osteoporotic drugs appropriately**. However, in young patients with lumbar compression fractures, severe compression requires surgery** with open reduction and pedicle screw fixation.

But this kind of ** requires strict bed rest for 6 to 8 weeks, at this time it is best not to sit or stand, and it is best to stay in bed for a period of time.

Lumbar compression fractures** depend on the degree of compression, and conservative** may be considered for patients with less than 1 3 fractures, while surgery is required for patients with more than 1 2. However, it is necessary to fast from water after a fracture because a retroperitoneal hematoma can form after a lumbar vertebra fracture, which affects intestinal peristalsis. If you don't fast, it can eventually lead to intestinal obstruction.

Therefore, patients with lumbar vertebral fractures must fast with water and wait until ventilation and bowel movements are normal before starting a normal diet.

After the above understanding of lumbar compression fracture, absolute bed rest should be taken during the conservative period to reduce the injured vertebrae. However, if the fracture is conservative and protrudes into the spinal canal and nervous system, it must be operated on, and the operation** must be fixed with a nail. At the same time, the injured vertebral fracture must be removed after it has healed and stabilized.

If it is only a minor fracture, bed rest is sufficient; If the degree of compression has exceeded 1 2 and a very serious misalignment has occurred, surgery must be performed in time at this time to avoid delaying the condition.

Exercise your body regularly, and you should also walk slowly, eat some nutritious food, and you should drink some bone broth, and cooperate with drugs**, etc., so that you can get better very quickly.

In such a situation, I think it can be done by massage**, and it can also be massaged, and it can also be relieved by hot compresses, or it can be done by taking drugs and surgery**.

In this case, you must go to the hospital for **, which is likely to cause serious damage to your body.

Compression lumbar fracture is usually caused by the lumbar spine being hit by a strong external force, resulting in compression of the vertebral body, and severe compression lumbar fracture may lead to paraplegia.

Lumbar compression fracture is a special manifestation of lumbar vertebral fracture, which is usually caused by longitudinal pressure on the lumbar vertebrae, such as falling and squatting. Because the longitudinal force breaks the trabecular bone that supports the vertebral body in the vertebral body, and the vertebral body collapses and compresses, it is called compression fracture, which can cause lumbar pain and deformation. For fractures with a compression height of less than one-third, conservative ** and psoas muscle dorsal extension exercises can generally be used, which can relieve the discomfort symptoms and restore the vertebral height after one month.

For more severe compression fractures, especially those with persistent low back pain or with pulled abdominal pain, surgery**, such as minimally invasive vertebroplasty, may be considered, with good results. Lumbar compression fracture is more common in the elderly, because of its osteoporosis and trabecular sparseness, even if it is subjected to a very slight external force, it is easy to cause bone compression fracture, so the elderly should especially prevent falls.

The best method of lumbar compression fracture is determined according to the patient's condition and physical condition. Most lumbar compression fractures are caused by trauma, and if there are no obvious neurological symptoms, this condition generally needs to be conservative**, and the acute attack requires resting on a flat hard bed.

In addition, according to the severity of the fracture, the fracture compression is not serious, does not affect the stability of the spine, patients without nerve compression can take conservative**, wear a brace to move on the ground after a period of bed rest, and pay attention to avoid bed complications such as thrombosis, pressure ulcers, and lung infections during bed rest. If it is a compression fracture of the lumbar vertebrae caused by trauma, the condition is more serious, affecting the stability of the spine or compressing the nerves, and it needs to be reduced by surgery in time and then fixed. If the fracture is fresh due to osteoporosis without nerve compression and spinal instability, cement enhancement of the fractured vertebral body can be performed.

Lumbar compression fractures are mainly caused by falls from heights and the hips fall to the ground and the body leaning forward. After a lumbar compression fracture, it must be noted that the whole body must be moved when moving after the injury, so as to avoid the distortion of the waist so as not to aggravate the compression of the waist.

and to avoid spinal cord injury. After lumbar compression fracture, it is necessary to see a doctor in time, and perform a radiograph and CT examination of the lumbar spine. It mainly depends on whether the lumbar compression fracture has caused spinal cord injury and the degree of lumbar compression.

If yes. The first and second degree compression did not cause spinal cord injury, and this situation can be conservative**.

If it results in spinal cord injury and a compression fracture of the lumbar vertebrae of the second degree or more, surgery is required**. One is to relieve the compression of the spinal cord, and then to restore the height of the vertebral body and stabilize the spine, so as to avoid numbness and pain in the lower limbs in the later stage, as well as long-term chronic low back pain and hunchback caused by vertebral instability.