Is l1 compression fracture serious?

L1 is part of the lumbar spine. If this kind of compression fracture occurs, it can be said that the harm is very great. You should go to the hospital for examination in time to understand the specific cause, and then take appropriate methods to treat it. Generally speaking, conservative methods can be used for treatment. During the treatment process, the patient must rest in bed and strengthen dietary conditioning to ensure the gradual healing of the fracture site. Let us learn about this aspect.

Is L1 compression fracture serious?

If the degree of compression of lumbar vertebral compression fracture is less than 1/3 and there is no spinal canal filling, conservative treatment can be given, with strict bed rest for six weeks and then an X-ray examination. The patient can wear a waist belt and get out of bed for appropriate activities. Because the lumbar vertebrae are mostly composed of cancellous bone, no callus growth will be seen during healing, and non-union will not occur. You should go to the orthopedic outpatient department of a regular hospital for treatment.

1. The most important thing for patients with fractures is to keep their vital signs stable:

1. Closely observe changes in consciousness and vital signs;

2. Keep the airway open and give oxygen;

3. Blood transfusion and fluid infusion to supplement effective blood volume;

4. Observe the chest and abdomen for any abnormal signs;

5. Accurately record input and output;

2. Treatment of fracture site:

1. Properly fix the fracture in the functional position and apply pressure bandage to stop bleeding;

2. Pay attention to whether the wound has active bleeding and use antibiotics to prevent the wound infection from getting worse;

3. If you use a tourniquet, you should relax it for 3 to 5 minutes every 1 to 2 hours and pay attention to the blood circulation of the affected limb;

4. TAT test, use TAT;

5. Analgesia to stabilize the patient's mood and avoid excessive movement of the affected limb;

6. Clean the skin around the wound. If the limb is severely swollen, cut open the sleeves or trouser legs. All operations must be done carefully and gently;

7. The patient should be in the best condition for surgery: tell the patient and family members the necessity of surgery and how to cooperate with the surgery; cut off the contaminated clothes and put on clean clothes; take off dentures, glasses, etc.; give preoperative medicine;

8. If the patient is conscious, he/she should cooperate with the rescue and treatment: avoid the various tubes from falling off, avoid agitation; tell the nurse promptly if there is any abnormal discomfort; tell the nurse promptly the nature and location of the pain; avoid the bandage or tourniquet from falling off;

3. Psychological comfort and health education:

1. Briefly inform the patient and family members of the purpose of the rescue measures (such as bandaging, fixation, use of tourniquet, etc.), educate family members to remain calm and cooperate with the rescue, and stay with the patient according to the situation;

2. Comfort the patient and reduce his fear;

3. Medical staff send the patient into the operating room, and the doctors and nurses in the operating room should warmly welcome the patient.

II. Routine overall care for patients with lumbar disc herniation before and after surgery

1. Preoperative care routine:

1. Strengthen nutrition to enhance body resistance and reduce the chance of infection;

2. Let the patient understand the condition and surgical plan, reduce his fear and tension to a minimum, accept the surgery in the best mental state, and arrange for accompanying care according to the condition;

3. Explain the relevant knowledge of this type of surgery, introduce the recovery of patients with the same disease, and enhance patients' confidence;

4. Rest on a hard bed, give analgesics to patients with severe pain, assist with routine preoperative examinations, and measure and record vital signs;

5. Be careful to avoid catching cold, teach patients to cough up phlegm effectively, breathe deeply, practice using the toilet in bed, and know when not to drink or eat;

6. Conduct health education on related diseases, introduce precautions before and after surgery, and how to cooperate with doctors to complete the surgery;

7. Prepare the skin before surgery, fast for 12 hours, fast for 4 hours, follow the doctor's instructions to use preoperative medicine, and bring medical records and medicines into the operating room;

8. Medical staff escort the patient to the operating room, and valuables are handed over to family members or nurses for safekeeping. Medical staff in the operating room should warmly welcome and comfort the patient;