Precautions after lumbar spine reduction

When it comes to lumbar spine problems, many people hope that they can be cured, but there are many treatments for the lumbar spine. Today I will talk to you about lumbar spine reduction. We divide lumbar spine reduction into different pathologies, and they are manifested by different methods. That is to say, the lumbar spine may be fractured or it may be dislocated. At this time, for a lumbar spine fracture, we need to lift up the collapsed part of the fracture. The operation was successful, but recovery is equally important. Next, I would like to share with you what you should pay attention to after lumbar reduction.

1. Classification of lumbar spine reduction surgery

1. Reduction and fixation are divided into two methods: conservative and surgical. A considerable number of cases of thoracolumbar fractures accompanied by paraplegia require surgical treatment. The surgery is roughly divided into three approaches: posterior approach, lateral approach, and anterior approach. In the past, surgeries often chose posterior lamina decompression, exploration + internal fixation. However, it was gradually discovered that posterior surgery could not restore the normal shape and stability of the spine in many cases, and it was not easy to relieve the pressure from the front. Long-term follow-up also found internal fixation failure, fusion failure, spinal instability, and malformation. Moreover, posterior internal fixation of the spine must realize its tension band function through the load-bearing of the anterior column to resist traction and bending moment. Therefore, the anterior support system is indispensable. Due to the advancement of X-ray examination technology, especially the application of CT and MRI, people are convinced that the impact or compression on the spinal nerves in spinal fractures mostly comes from the front of the dura mater, and there is a definite reason to perform anterior decompression surgery. However, anterior approach surgery involves many structures such as the chest and abdominal organs and important blood vessels, and is more difficult to operate on and has more postoperative complications. It not only has high requirements on the patient's systemic and local conditions, but also requires the doctor to master solid basic theories and rich clinical experience, as well as have proficient surgical skills. Many doctors hesitated to take this approach, resulting in some cases that were suitable for anterior approach surgery being performed with posterior approach surgery. However, anterior approach surgery cannot detect spinal cord and cauda equina injuries and provide necessary treatment. Therefore, grasping the indications for anterior approach surgery is the key to clinical effectiveness.

Precautions for lumbar disc herniation after bone setting reduction:

1. During the acute phase, you should pay attention to rest and minimize exercise.

2. After the symptoms have improved significantly, you can gradually perform back muscle exercises and squat exercises.

3. Keep your waist warm and do not sleep on the floor or bamboo mat.

4. Correct standing posture. Combine work and rest in daily work and life, pay attention to correct posture, and avoid lifting heavy objects.

5. Avoid strenuous exercise such as basketball, football, tennis, golf, yoga, dancing and other twisting exercises.

6. Pay attention to abstaining from sexual activity for one month. Make sure that the vertebral body is not displaced and completely relieve the compression and traction of the nerves, ligaments and muscles! After 1-3 months of recovery and exercise, the herniated disc will be completely cured!