What are the treatments for spinal cord injury?

Patients with spinal cord injury should be emergency after injury**, and the correctness of early treatment measures directly affects the patient's life safety and the recovery of spinal cord function, and non-surgical ** and surgical ** can generally be selected.

1. General**.

The correctness of early treatment measures directly affects the patient's life safety and the recovery of spinal cord function. Spinal cord injuries are generally huge traffic accidents or high fall injuries, most of the injured are confused or unable to move, and the ABC rescue principle should be followed, that is, to maintain the patency of the respiratory tract, restore ventilation, and maintain stable blood circulation.

2. Drugs**.

1. Methylprednisolone: For those who are injured within 8 hours, methylprednisolone impact is an optional means. Its mechanism of action is that high-dose methylprednisolone can prevent the peroxidation reaction of lipid compounds and stabilize the cell membrane, thereby reducing the degeneration of nerve cells after trauma, reducing tissue edema, improving spinal cord blood flow, preventing further aggravation of spinal cord ischemia after injury, promoting metabolism and preventing neurofiber degeneration.

2. Scopolamine: By adjusting microcirculation, improving the microcirculation disorders caused by capillary rupture, bleeding and blockage after spinal cord injury, reducing spinal cord ischemia and necrosis, and is conducive to the recovery of spinal cord function, the sooner it is used, the better. It should be used on the day after injury.

3. Mannitol: Intravenous drip of mannitol, glycerol and other dehydration**, prevention and spinal edema can reduce secondary spinal cord damage caused by spinal cord injury.

4. Anti-catecholamine drugs: the accumulation of norepinephrine in spinal cord injury tissues is an important factor in spinal cord hemorrhagic necrosis, and anti-catecholamine drugs can reduce the synthesis of norepinephrine, thereby reducing spinal cord hemorrhagic necrosis.

5. Ganglioside: it has a protective effect on secondary neurodegeneration after injury - reducing the rate of sugar consumption; Improve the activity of cell membrane enzymes and reduce nerve cell edema; selectively counteracts the activity of excitatory amino acids; Promotes functional recovery of central nervous system damage caused by various causes.

3. Surgery**.

1. Emergency laminetomy spinal cord decompression: fixed at the same time.

2. Reduction and internal fixation: It is applied to early fractures, vertebral fragmentation is not serious, or there is injury or locking of facet joints.

3. Anterior reconstruction and internal fixation surgery: It is used for severe anterior vertebral fracture and loss of weight-bearing capacity.

4. Osteotomy and orthopedics: applied to spinal cord injury caused by old fractures.

5. Pressure ulcer surgery: For large and deep pressure ulcers, surgery is used to remove the soft tissue of the pressure ulcer at the bone prominence, and the incision can be closed with a skin flap or muscular flap.

4. Others**.

1. Hyperbaric oxygen**: According to animal tests, hyperbaric oxygen** is the best within two hours after injury, which is obviously not suitable for clinical cases. According to practical experience, good results can also be obtained when applied within 4 to 6 hours after injury.

2. Complications**: Spinal cord injury will cause many complications due to long-term bed rest, and then treat the symptoms according to different complications**, such as pressure ulcer patients should turn over and clean in time; Patients with lung disease are given medications** and, if necessary, tracheostomy**.

3. Deformity prevention and treatment: patients with mild deformities can use passive joint movement, traction and drug symptomatic, and severe patients can be surgically corrected.

Spinal cord injury is a condition caused by damage or damage to the nerve tissue of the spine.

The nerve tissue in the cervical and thoracic areas of the spine is called the "spinal cord"; The nerve tissue in the lower lumbar region is called the "cauda equina". Normally, the spinal cord and cauda equina carry nerve signals between the arms, legs and brain that allow us to move and feel. If nerve tissue is damaged, such as from a spinal fracture, all or part of movement (paralysis) or loss of sensation can occur.

Spine fractures occur when there is a sustained injury to the spine that results in the destruction or rupture of the bones (vertebrae) or attached ligaments of the spine.

What do I need to do for a spinal cord injury**?

1. Patients with less serious condition are recommended to get up every one or two hours after work every day to twist their waist and do a few minutes of activity to prevent the lumbar spine from stiffening for a long time without rest, and they can also beat their back with their hand sockets to promote blood circulation.

2. The patient should choose a wooden bed as much as possible to sleep at night, and take the way of lying on the side, so that the spine is in a natural relaxed state, which can avoid spinal cord injury.

3. If the symptoms seriously affect the normal life and sleep of the patient, it is recommended to seek medical attention as soon as possible, and take some anti-inflammatory western medicine and Chinese medicine ointment under the guidance of the doctor**.

The central nervous system of the human body includes the brain and spinal cord, and once the spinal cord is compressed, damaged, stretched or destroyed, it will cause multi-system dysfunction and even paralysis throughout the body, which is the disadvantage of traditional surgery. With the help of the international advanced visual system, the doctor can clearly observe the tissue structure of the patient, avoid the spinal cord, and perform the operation with ease, and achieve the best surgical effect under the premise of ensuring safety.

GRT radiofrequency target thermocoagulation"It has significant advantages over traditional methods.

1. High safety: no harm to normal tissues and organs, and symptoms disappear or alleviate immediately after **.

2. Small damage and less pain: the puncture needle is only millimeter, and it will not cause a decrease in spinal stability. No surgical incisions, no bleeding, mobility on the same day, and hospitalization for 3-5 days.

3. Low overall cost: Compared with open surgery, the cost is reduced by half. For cases where a single cost is low and multiple times are required, and the overall cost is high, the technology is:"Disposable, fast-food"Method.

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**The best method for spinal cord injury is neuroprosthetic technology, which combines the advantages of modern multidisciplinarity to achieve the high-end goal of neuroscience and technology serving clinical medicine. On top of the original neuroanatomy and function, various intervention strategies, such as tissue or cell transplantation, are employed to promote the regeneration and repair of damaged or damaged nerves.

Finally, the restoration and reconstruction of neurological function was achieved. However, it is recommended that patients should also take good care measures in their daily lives to prevent complications.

Spinal Cord Injury **** Method:

There are many methods for patients with spinal cord injury, and different patients take different methods, which can be summarized as follows:

First, physics**, which includes motivational training, balance and coordination training, standing training, and walking training.

Second, homework**, including training in activities of daily living, recreation and work training, etc.

Third, physical factors, including low frequency, medium frequency, high frequency, ultra-short wave, ultrasonic.

Fourth, orthoses, including upper limb orthoses, trunk orthoses and lower limb orthoses.

Fifth, the traditional Chinese **** methods, including acupuncture and massage.

Sixth, psychological**.

There are also certain treatment measures for complications: pressure ulcers can be treated with decompression care, wound treatment, physical factors**, and nutritional support**; For pain, drug blocking, physical factors**, and psychological counseling can be given; For spasticity, it can remove triggers, take oral medications, nerve blocks, stretch training, etc.

Common methods include drugs, surgery, hyperbaric oxygen, pulsed electricity, and local cryotherapy.

There is no best way, and different methods are to be used depending on the situation.