Lumbar compression fracture surgery, late stage surgery required

Lumbar compression fractures are divided into early, middle and late stages. Patients will experience hypotensive syncope. Conservative treatment is sufficient in the early stages, but late-stage lumbar compression fractures require timely surgical treatment to reduce damage to the spinal cord.

1. Late-stage lumbar compression fractures require timely surgical treatment

1. Early stage - conservative treatment

Conservative treatment for lumbar compression fractures mainly includes immobilization with a hard bed. Placing a cushion on the injured back and straightening your back can relieve pain. The healing period is within 3 months after the injury. You can mainly exercise in bed. Short-term rehabilitation should be started as soon as possible, 1-2 days after the injury. This can increase the strength of the waist and back muscles and relieve pain. In addition to hard bed braking, other methods include acupuncture, manipulation, and massage.

2. Early and middle stages: minimally invasive therapy

"PKP bone cement minimally invasive interventional therapy" - with the help of X-ray fluoroscopy, a special method is used to expand and shape the compressed vertebral body. Thereby, the shape of the bulging vertebra is fixed, the stress state of the spine is improved, the clinical symptoms of the patient are alleviated, and the patient's pain is relieved. It also has the effect of strengthening the diseased vertebra and preventing the diseased vertebra from further collapse.

3. Late stage - surgical treatment

In the late stage, surgical treatment should be taken promptly. Open reduction, thorough decompression and internal fixation should be performed as soon as possible. And taking enough glucocorticoids within 1 hour after the injury and maintaining it for three days can reduce spinal cord damage.

2. Common symptoms of lumbar compression fractures

1. Lumbar compression fracture: the most common symptom is postural hypotension. When the patient is lifted from a supine position, he may suddenly faint. When the thoracic spinal cord is injured and the fracture heals, the sensation below the nipple disappears, but it has little effect on breathing. If the thoracic cord is injured between 6 and 9, the umbilicus is pulled upward because the upper part of the rectus abdominis is not damaged; if the thoracic cord is injured between 6 and 9, the function of the lower rectus abdominis is preserved, while the lower fibers of the internal oblique and transverse abdominal muscles are paralyzed, which can treat nonunion; if the thoracic cord is injured between 12 and 12, all abdominal muscles function well, which can promote fracture healing.

2. Thoracic cord 6 injury, all abdominal wall reflexes disappear; thoracic cord ten injury, femoral head ischemic necrosis, upper and middle abdominal wall reflexes exist; thoracic cord twelve injury. All abdominal wall reflexes are present, but the cremaster reflex is absent, the knee and ankle reflexes are hyperreflexic, and the lower limbs are spastic and paralyzed. The plane of sensory loss reaches the xiphoid process when thoracic cord 6 is injured, reaches the costal margin when thoracic cord 7 and 8 are injured, reaches the umbilicus when thoracic cord 10 is injured, and reaches the groin when thoracic cord 12 is injured.