Is it better to have a compression fracture of the vertebrae with surgery or to treat it conservativ

Updated on healthy 2024-04-16
18 answers
  1. Anonymous users2024-02-07

    25 days can be walked on crutches, Western medicine should be used with caution, and the external application of traditional Chinese medicine can be used directly to quickly connect bones, only the growth and healing of broken bones can resume normal activities, especially hormone-containing drugs are contraindicated, and the fracture delay time is long ** needs to be extended for some more time.

    Before there is no **, the pain can be basically eliminated after about 5 days of medication, but let it grow rapidly, and the waist nerve is rich in surgery, which is to fix the broken bone with steel plates and nails in the body, and it is not suitable to move on the ground after resting.

    The focus of fractures** is not immobilization and resting at home, which does not promote bone growth.

    Hu Orthopedics wishes you a speedy **. And your so-called conservative ** may be the hospital's non-surgical home recuperation bed, avoid eating high-calcium food, no displacement and dislocation, can be fixed without surgery, if the fracture alignment is good, choose such a **broken bone growth is also very slow, fast and slow two or three months, return to normal life activities, the whole process**can be basic in about 30 to 40 days**, slow five or six months to basic**, plus a person to rest in bed for a long time is also very tired and inconvenient, 20 days later can stand on the ground.

    If you have a problem, don't move to the broken area for 7 to 10 days, and if you don't do the surgery, you will be in danger of paralysis.

  2. Anonymous users2024-02-06

    The operation is to fix the broken bone with steel plates and nails in the body, which has no effect on the growth of the bones, and the waist is rich in nerves, and there is a risk of paralysis if the operation is not good. And your so-called conservative** may be the hospital's non-surgical home recuperation bed, choose such a **broken bone growth is also very slow, fast and slow for two or three months, slow five or six months to be basic**, plus a person to recuperate in bed for a long time is also very tiring and inconvenient.

    The point of the fracture** is not to immobilize and rest at home, but to allow it to grow rapidly, and only when the broken bone grows and heals can it resume normal activities.

    Your problem, if the fracture alignment is good, there is no displacement and dislocation, it can be fixed without surgery, and the pain can be basically eliminated after about 5 days of medication, do not move to the broken place within 7 to 10 days, stand on the ground after 20 days, walk on crutches for 25 days, and resume normal life activities in about 30 to 40 days, while the fracture needs to be extended for a long time.

    Before there is no **, rest more should not be on the ground, avoid eating high-calcium food, use Western medicine with caution, especially hormone-containing drugs.

    Hu Orthopedics wishes you a speedy **.

  3. Anonymous users2024-02-05

    In the end, it's not good to open it, it's hard to say, you have to see your ** to say.

    There is no risk of surgery, I guess it should be a few screws to prop you up, it should not be a disc replacement.

    Personally, I think it's better to go under the knife in the long run.

    Now it is a fresh fracture, although it does not overwhelm the nerve roots, but it is not necessary to do things in the future, but when there is a problem again, it is an old fracture that is not easy to get, and it is good to be conservative ** This thing is good, but many times it depends on the character.

  4. Anonymous users2024-02-04

    At this time last year, I had internal fixation surgery for a lumbar 2 compression fracture, and the effect was okay, although the compressed bone did not return to the original state, but I went to several hospitals for a review and said that the recovery was good, and everything was okay after a year, and now the hospital is ready to take out the internal fixation, (I have this operation in our county hospital, I hope the operation is successful).

    The surgery is painful, and the surgery is traumatic and takes a long time to recover.

  5. Anonymous users2024-02-03

    Discuss with your attending physician, he will give you a good ** plan according to your fracture situation, it is best not to have surgery

  6. Anonymous users2024-02-02

    Lumbar vertebral fractures occur in the setting of severe trauma or pathological weakening of the bones, and osteoporosis is the underlying cause of many lumbar fractures, especially in postmenopausal women. Osteoporotic spinal fractures are unique in that they can occur without significant trauma. Any injury that alters the shape of the lumbar spine will alter the lumbar spine posture, increasing or decreasing the lumbar spine curve.

    Most fractures occur at the thoracolumbar junction. Osteoporotic spinal fractures can be graded based on vertebral height loss:

    Mild: 20-25%.

    Medium: 25-40%.

    Severe: > 40%.

    The lumbar spine is the 5 largest and strongest of all the vertebrae in the spine, and the strongest stable muscle in the spine is attached to the lumbar spine. This anatomy provides them with the opportunity to support the entire upper body. Lumbar vertebrae: Starts at the thoracolumbar junction and extends to the cape of the sacrum.

    stacked together, they can provide a movable support structure while also protecting the spinal cord from injury. There is greater flexion and extension of motion and is involved in lateral flexion and rotation of the spine, but to a lesser extent. The lumbar spine is more susceptible to injury due to increased mobility.

    The lumbar intervertebral disc acts as a cushion for mechanical loads.

    Most fractures occur at the thoracolumbar junction. This is a transition zone (T12-L2): the thoracic vertebrae are stiffer than those of the active lumbar region, which means that the transition zone is subjected to the greatest load during impact.

    >80 years of age (40% of women of this age have had at least one compression fracture).

    Women: Postmenopausal middle-aged (55-65 years) women experience hormonal changes that make them more susceptible to osteoporosis. One in four postmenopausal women will be affected by vertebral compression fractures.

    The difference in incidence is almost twice as high in women as in women, especially with age. In general, vertebral compression fractures occur in 1 in 1,000 women and 1 in 1,000 men in the United States each year. Bone loss is more common in women, especially postmenopausal.

    This is due to a sharp drop in estrogen, which continues to make bones lose density and prone to fractures.

  7. Anonymous users2024-02-01

    Generally, such fractures can be conservative if the condition is not very serious, and surgery is required if they are severe.

  8. Anonymous users2024-01-31

    It is necessary to do bandaging, and it is also necessary to go through surgery, because this condition will be reversed, and only through surgery can it be completely done.

  9. Anonymous users2024-01-30

    You should go directly to the hospital and ask the doctor to look at your condition and develop a plan for you. It's really going to be operated.

  10. Anonymous users2024-01-29

    Not necessarily, it depends on the severity.

    If the injury is average, it is possible to wait for the fracture to heal by resting while protected by a brace.

    A lumbar compression fracture is a compression fracture of the bone in the lumbar vertebrae. Severe lumbar compression fractures can lead to rupture of the ligament complex, causing structural instability of the spine or compression of spinal nerves. Lumbar vertebral fractures are a common outcome after lumbar spine injury.

    Lumbar spine injuries can also cause traumatic disc herniation.

    Ligament injury. and epidural hematoma, resulting in compression of the spinal cord, cauda equina nerve, or nerve roots.

    From the perspective of injury mechanism, lumbar compression fracture belongs to flexion compression injury, the most common parts are chest 12 and lumbar 1, the anterior vertebral body compression < 50%, the anterior longitudinal ligament is mostly intact, the posterior column is under tension, and the X-ray film shows that the posterior cortex of the vertebral body is intact and the height remains unchanged, which is a stable fracture.

    Compression》50%, the supraspinous ligament and interspinous ligament of the posterior column can be ruptured, which is often an unstable fracture.

    Lumbar compression fracture is a traumatic condition that is usually caused by trauma (e.g., traffic accidents, falls from heights). Osteoporosis, metabolic bone disease, or lumbar spine tumors are risk factors, and minor trauma can lead to lumbar compression fractures.

    Most of the disease is acute, and there are no obvious symptoms before the onset of the disease. A small number of cases present with worsening symptoms of low back pain due to an unclear history of trauma, and imaging studies confirm a compression fracture of the lumbar spine.

    Lumbar compression fractures are first of all to solve pain and improve the quality of life of patients; The second is to correct the deformity, restore the stability of the spine, and relieve the compression of spinal nerve roots; Finally, it is necessary to prevent fractures through lifestyle changes. Happening again.

  11. Anonymous users2024-01-28

    Not necessarily, if you stay in bed for three months, you can generally recover.

  12. Anonymous users2024-01-27

    Lumbar compression fracture** method depends on the degree of fracture compression. Patients without neurological symptoms whose compression degree does not exceed the height of the vertebral body 1 3 are usually recommended to rest in bed and wear a thoracolumbar brace to fix it, and obtain better results through conservative **.

    Most patients with neurological symptoms, especially cauda equina compression symptoms, need surgery**, lumbar vertebral fracture surgery** in addition to considering the patient's fracture situation, the patient's age should also be considered, middle-aged and elderly patients over 65 years old The lumbar vertebra fracture** can be operated on percutaneous balloon vertebroplasty, that is, bone marrow mud filling, PVP, PKP. Younger patients with neurological symptoms usually require surgery**, including open surgery and minimally invasive surgery. Surgery is performed to relieve spinal nerve compression and re-establish spinal stability, which is beneficial in the early postoperative period.

  13. Anonymous users2024-01-26

    Ah, you should list the more detailed information to.

    zhi facilitates diagnosis and dao to put forward ** opinions. Have you ever had a CT or MRI? MRI can clearly show not only vertebral fractures, but also the extent of spinal cord injury, such as spinal malacia and post-traumatic cysts.

    Your grandfather is so old, there is a certain risk of surgery or manual reduction, it is recommended to stay in bed and be conservative**. Bed rest, analgesia as the mainstay, after the injury to strengthen the back extensor exercise, 2 weeks can be supplemented with continuous traction, 6 to 8 weeks after the waist can get up and move, mild deformity does not affect the future function.

  14. Anonymous users2024-01-25

    If the lumbar compression fracture is light, you can not do surgery, if the lower limb is well moved, you can not do surgery, there is no good medicine to use, you can use blood activation, pain relief, in addition to the external application of traditional Chinese medicine also has a good effect, this disease should pay attention to rest.

  15. Anonymous users2024-01-24

    Minimally invasive bone cement** is to beat bone cement into the fractured bone through a needle without incision. It's also relatively safe. There are not many doctors in the country who carry out this technique 、、、

  16. Anonymous users2024-01-23

    Generally speaking, thoracolumbar compression fracture is also a relatively common bone glass, and although there are many kinds of thoracolumbar compression fractures, I think this aspect is better than Chengdu Microscopic Hand and Foot Surgery Hospital.

  17. Anonymous users2024-01-22

    Hello; Whether you need surgery for the compression fracture of the lumbar spine depends on your condition, and you must go to the hospital to find an orthopedic surgeon and see the doctor's opinion. Nowadays, minimally invasive surgery can avoid a lot of pain for patients, and the time is relatively small, and the recovery is faster. You can talk to your doctor.

  18. Anonymous users2024-01-21

    Surgery or recuperation depends on the injury.

    Specific problems must be analyzed on a case-by-case basis.

    However, it is best to avoid surgery without surgery.

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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.