On the issue of compression fractures in the elderly

Updated on healthy 2024-08-13
16 answers
  1. Anonymous users2024-02-16

    Older people, and females, are prone to osteoporosis, and women are more likely to develop osteoporosis due to estrogen deficiency, known as "postmenopausal osteoporosis." Osteoporosis, unlike young people, may cause a fracture that is small enough to be violent, and this fracture is different from common fractures, and the symptoms are very mild, such as not feeling pain at all. However, it must not be taken lightly.

    Compression fractures, regardless of the severity of the fracture, are necessary to stay in bed for two to three months because it takes at least three months for the bone to heal and longer for older people. If the compression exceeds the vertebral body height 1 3, surgery is required, otherwise conservative**, and the conservative** indication can be relaxed for the elderly, because the surgical effect may be poor. During the period of bed rest, the elderly need to exercise coughing, prevent lung infection, turn over appropriately, and it is best to have someone to assist to prevent bedsores, exercise the muscles of both lower limbs, prevent muscle atrophy, and venous embolism.

    Just eat the same as usual. **The main supplement is calcium, calcium, vitamins, salmon calcitonin, estrogen, and take it together, but the dosage should be found by a doctor, and it is good to take it for life. At the same time, it should be noted that if the osteoporotic fracture is not timely, for example, if the time of getting out of bed is too early, the recovery is not sufficient, and the possibility of recurrence of the fracture is very high, and it may not be the spine, but the lower limbs, upper limbs, such as the femoral neck.

    So, you need to get plenty of rest and **. If there's anything unclear, you can ask me.

  2. Anonymous users2024-02-15

    Lumbar compression fracture requires absolute bed rest, which can be rechecked after a month, and if it heals well, it can be moved, and it needs to be exercised, or it will happen.

  3. Anonymous users2024-02-14

    Osteoporosis in the elderly will have spontaneous fractures, especially in the lumbar spine, and you want the weight of the upper body to be borne by the lumbar spine, which is very stressful.

  4. Anonymous users2024-02-13

    What's going on with a compression fracture:

    Compression fractures, commonly compression fractures of the thoracolumbar spine. There are two types of compression fractures, one is caused by traumatic effects, which are more common in young adults; There is also a compression fracture caused by osteoporosis in the elderly, which may not have significant trauma, but only because of the presence of osteoporosis, coughing or sneezing may cause compression fractures, which are more common in elderly patients with severe osteoporosis. Both direct and indirect violence can lead to fractures, such as falling from a height, landing on the hips, flexing the trunk forward, changing the morphology of the anterior edge of the vertebral body, and compression fractures.

    Compression fractures in young adults can be conservative if the compression is very mild**. Generally, compression fractures can be conservative if the compression is not more than half severe, and there is no burst, no damage to the ligament complex behind the spine, or no nerve damage. Surgery is required if the compression fracture of the spine is severe, and there is neurological impairment caused by the protrusion of a bone mass into the spinal canal, or if there is an injury to the posterior ligament complex, and the clinical score is satisfactory.

    If the fracture is unstable, or if there are neurological symptoms or significant compression of the spinal canal, minimally invasive surgical methods should be used**.

  5. Anonymous users2024-02-12

    Compression fracture is a kind of fracture, compression fracture is more common in cancellous bone, to give you a more understandable analogy, just like a piece of tofu, we use our hands to compress it, causing it to sink in, just like bones, after being subjected to external force, it becomes flattened or dented. Compression fractures are common in the spine and more common in the lumbar spine.

  6. Anonymous users2024-02-11

    Compression fracture is the patient's own vertebral osteoporosis, which causes the vertebral body to be flattened longitudinally due to external force. Compression fractures mostly occur on the thoracolumbar vertebral structure, and are more common in older women. The patient mainly presents with severe low back pain, and the first way of compression fracture is mainly minimally invasive surgery**, including PKP and PVP, which can make the compression fracture vertebral body stretch open and inject bone cement to effectively prevent the patient's pain. Share:

  7. Anonymous users2024-02-10

    Compression fracture, refers to a classification of fracture description, commonly found in the vertebral body of the spine due to longitudinal pressure so that the vertebral body is compressed, according to the common people is a fracture method of vertebral bone is flattened, common in the elderly with osteoporosis, young people who are injured by falling from heights, and traumatic fractures and pathological fractures, the specific situation is based on the patient's medical history, triggers, age, actual symptoms and signs and auxiliary examinations to clarify the diagnosis and the degree of fracture, and the specific program is also different.

  8. Anonymous users2024-02-09

    When a bone is flattened and then ruptures again, it is called a compression fracture.

  9. Anonymous users2024-02-08

    Lumbar compression fracture is a common symptom of the elderly, this fracture occurs in the lumbar spine, if the elderly do not pay attention at this time, or do not do **, it may fall into the root of the disease, causing a variety of sequelae, and the elderly will not be able to move normally.

    After the occurrence of lumbar compression fracture, patients are most worried about the sequelae of this disease, and many people are worried that they will not handle it properly, which will affect their recovery, and they are also afraid that their lives will be affected by then. Because lumbar compression fracture is more serious, even if it is accepted, it may not be able to recover completely. So let's take a look at what the experts have to say.

    After the occurrence of lumbar compression fracture, the patient will continue to have pain for a long time, and it is uncontrollable in a short period of time, and the pain will spread to the surrounding area, and in severe cases, the patient will be in pain to the point that he cannot work or live normally.

    Lumbar compression fracture may also induce neurological symptoms, because this fracture is an injury, and the surrounding nerves may be implicated, so if the patient does not recover well, it may also cause pain in the lower limbs, and may even lead to changes in the muscle strength of the lower limbs.

    Lumbar compression fracture may also affect the appearance of the person, from the appearance point of view, the patient's posture is abnormal, because of the pain in the lower back when walking, so there is no way to straighten the waist, can only bend over and walk, and even can't stand up, and the back will be hunched.

    When the pain lasts for a long time, the patient may have a rupture of the posterior edge of the vertebrae, then the fracture is more difficult to recover, and the lumbar spinal canal may form a stenosis, which seriously affects the local normal blood circulation, and then does not deal with it, it may lead to local numbness, and there will be a chance of paralysis.

    The sequelae of lumbar compression fracture are the ones we introduced above, if the elderly have a fracture, they must accept it as soon as possible, do not delay, otherwise it will be difficult to control at that time, and there is no way to walk after the fracture is serious. After the elderly have a lumbar compression fracture, they should also rest more, and after a period of recovery, they can do some functional exercises.

  10. Anonymous users2024-02-07

    Compression fracture compression fracture has a great impact on the elderly First of all, the elderly fracture has a great impact on the elderly, first of all, the elderly fracture, he is not very easy, not to mention the impact of compression fracture on the elderly, first of all, the elderly fracture, he is not very easy, not to mention the compression fracture.

  11. Anonymous users2024-02-06

    Taking Chinese medicine, I have been on a hard bed for at least 3 months. Can be conservative**. Chengdu Fuxiang Orthopedics.

  12. Anonymous users2024-02-05

    Compression fractures are common in compression fractures of the lumbar spine. Lumbar compression fracture refers to a type of spinal fracture characterized by the longitudinal height of the vertebral body being "flattened", and it is also the most common type of spinal fracture. Lumbar compression fractures are divided into two categories: traumatic and spontaneous (or pathological) according to the cause of formation.

    The former refers to lumbar compression fractures caused by indirect violence such as longitudinal compressive force (a person falling upright or being hit vertically by a heavy object) or hinge breaking force (extreme flexion and extension of the spine); The latter refers to the compression fracture of the lumbar vertebral body caused by pathological reasons such as osteoporosis, degeneration, infection, and tumor, or formed under the action of slight violence.

  13. Anonymous users2024-02-04

    Everyone has heard of fractures, fractures are broken bones, fractures are affected by many factors, fractures will have a serious impact on health, and will also bring a lot of inconvenience to individuals, compression fractures believe that many people are not very clear, so, what does compression fracture mean?

    Compression fracture refers to a fracture in which the vertebral body is flattened, and it is mainly seen in falls from height, and this type of fracture can also be seen in compression fractures of the thoracic and lumbar vertebrae. Lumbar compression fracture, the lumbar vertebrae are like a cylinder, when the fracture occurs, the height of the cylinder becomes lower, so it is called a compression fracture.

    1. Compression fracture needs to be taken according to the specific situation of the individual, if it is just a simple compression fracture, the degree of compression is small, you can take a conservative **conservative**, mainly using local brake cast or external fixation of brace, after a period of appropriate rest, the fracture will slowly heal.

    Second, the site of compression fracture is relatively special, such as compression fracture occurs in the lumbar vertebrae, in this case, conservative ** is difficult to heal, and long-term bed rest will also be a serious complication, life-threatening, therefore, severe compression fracture must be surgical**.

    3. Compression fractures can be treated non-surgically or surgically**. The specific ** plan needs to be decided according to the individual's condition and age. Therefore, the factors of onset of compression fractures are different, the age is different, the mechanism of violence, the type of injury is different, and the method is different.

    As the saying goes, after 100 days of injured muscles and bones, after the occurrence of compression fracture, it is necessary to take corresponding measures according to the specific situation of the individual, especially the elderly with compression fracture, the recovery is relatively slow, and the recovery must be correct, in order to achieve a better recovery effect.

  14. Anonymous users2024-02-03

    Compression fracture refers to the local external force, which causes the interruption of bone continuity or integrity, which will cause the local to lose its original normal height, which is called compression fracture; For compression fractures, you should pay attention to lying flat and rest more, and you should choose conservative, chick intestine massage pain place, if the effect is not good, you should choose surgery**.

  15. Anonymous users2024-02-02

    Compression fracture generally refers to the compression fracture of the lumbar vertebrae, if you choose conservative, you should lie down and rest more, and fix it externally, if the situation is serious and the conservative effect is not good, you should choose surgery, and put steel nails on the vertebral body to relieve the pressure on the middle vertebral body.

  16. Anonymous users2024-02-01

    It is a fracture of the spine and thoracolumbar vertebrae, and the spine is flattened. You can have surgery and recover, but you must pay attention to a light diet.

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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.