Things to note during the recovery period of lumbar compression fracture

Things to note during the recovery period of lumbar compression fracture

Lumbar compression fracture is a common disease among the elderly in my country, especially the elderly who suffer from osteoporosis have a much higher probability of lumbar compression fracture. It is also difficult to treat lumbar compression fracture, especially in the recovery period of lumbar compression fracture. There are many precautions. Only by doing these things can lumbar compression fracture gradually recover. The specific precautions for the recovery period of lumbar compression fracture are as follows:

After a fracture, retroperitoneal hematoma often stimulates the visceral nerves, causing intestinal motility disorders, abdominal distension and pain. After injury, it is often necessary to fast and receive fluid support, and gradually drink water and eat depending on the recovery of bowel sounds.

After the pain is relieved and the abdominal distension subsides, you can perform position reduction under the guidance of a doctor according to the degree of fracture compression. For example, you can gradually place pillows on the back of the injured vertebra, using this as a fulcrum and using the gravity of the trunk to keep the spine extended, so as to stretch the wedge-shaped compressed vertebrae and improve and correct the deformity, which is fracture reduction. A chest and back brace is required when standing and walking.

Turn the patient over regularly, pat and massage the back, encourage the patient to cough and expectorate, keep the skin clean and dry, and prevent lung infections and bedsores.

For a few unstable fractures, open reduction and internal fixation can be performed.

For fresh fractures of osteoporosis in the elderly, body position reduction can be performed under the guidance of X-ray CT, and bone cement can be injected into the fracture gap of the injured vertebra. Alternatively, an air bag can be injected first, expanded and shaped, and then bone cement can be injected to expand the compressed vertebra and strengthen the injured vertebra to prevent further collapse. As the injured vertebra stabilizes, the patient's pain will be relieved and eliminated.

In addition to paying attention to these matters during the recovery period of lumbar compression fractures, patients need to exercise their lumbar spine regularly, but during the first three months of exercise, bed exercises should be the main method. As the body gradually recovers, the intensity of exercise can be increased, but be sure to do it within your ability and not exercise too much, otherwise it may have the opposite effect.

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