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back fracture
مقاله تخصصی

back fracture

3 months ago
930 بازدید
Dr. Mahmoud Yazdan Panahi

Dr. Mahmoud Yazdan Panahi

Tehran

Neurosurgeon and spine and disc surgeon

Treatment of lumbar vertebrae fractures The treatment of back fracture depends on the severity of the injury, the location of the fracture and the patient's clinical symptoms, and generally includes non-surgical and surgical methods. In mild cases, the use of support braces to stabilize the spine, relative rest, and the use of painkillers and anti-inflammatory drugs can help recovery. In more severe cases, when the fracture has caused instability of the spine or nerve compression, surgery may be needed, such as fusion of vertebrae or be vertebroplasty.. The purpose of these surgeries is to stabilize the damaged vertebra, reduce pressure from the spinal cord or nerves and prevent long-term complications, diagnosis of treatment, accurate referral of the treatment method to the doctor.. it can have irreparable consequences... therefore, receiving specialized treatment and continuous follow-up is the key to success in complete recovery... Heidelberg, Germany: > «treatment of fracture vertebrae back is not limited to .. , But must return neural function, reducepainandimprovequality... the patient's life is also taken into consideration.. ### length of fracture treatment Lumbar As mentioned, the length of treatment varies depending on the severity of the injury, but most patients recover completely within 6 to 12 weeks... Fractures of the lumbar vertebrae are one of the most important spinal injuries that may occur after a severe accident or even due to structural weakness of the bones... Although many people consider such fractures only related to accidents or falls, many other factors also play a role in increasing the likelihood of this injury... Sometimes these fractures are accompanied by symptoms similar to the most dangerous lumbar disc, and in diagnosis Wrong, the appropriate treatment may be delayed... - Trauma; If the lumbar spine is hit, it can lead to a fracture. Injuries caused by road accidents, falling from a height, sports, fights, etc. are some of the underlying factors that cause these blows.. - Osteoporosis; Osteoporosis reduces the strength of the bones and exposes a person to fractures.... People with osteoporosis may suffer from fractures in the lumbar vertebrae following light blows (even due to their own body weight).. Old age, menopause, inactivity, hormonal disorders, vitamin D and calcium deficiency, parathyroid diseases, thyroid disorders, long-term use of blood thinners, etc.. Osteoporosis... - Obesity; Due to obesity, the pressure on the lumbar vertebrae increases and over time causes the lumbar vertebrae to weaken and increase the risk of lumbar vertebrae fractures.... - Arthritis; People who suffer from arthrosis of the lumbar vertebrae and spinal canal stenosis, due to the weakening of the bone tissue, are prone to consecutive fractures.... - smoking; People who smoke are at a higher risk of developing osteoporosis.. Also, smoking causes a delay in bone healing and the patient's recovery... Lumbar fracture symptoms Due to the proximity of the lumbar vertebrae to the spinal cord and spinal nerves, these people may experience a series of neurological symptoms, which include: 1... back pain; The most common symptom of these patients is back pain and it has a shooting state (similar to an electric shock)... the back pain of these patients is a state... that is, in some specific positions of the body, their pain intensifies; For example, when they bend forward and this is why these patients avoid bending forward.... 2... pain in the lower limbs (legs); Considering that the nerves that originate from the waist move towards the legs, when the person's nerves are under pressure due to a fracture, the patient's symptoms appear in the lower limb. One of these symptoms is the presence of shooting pain in the lower limb (which passes through the hip, thigh, and leg and may reach the sole of the patient's foot. It mainly reaches one side of the patient). became.... 4.... muscle weakness; The strength of the muscles of the lower limbs of the person may decrease.... This is also because the motor nerves are under pressure.... 5... Incontinence in urine and feces; When the severity of injury and fracture is severe, it can put pressure on the spinal cord.... In this case, the person may lose control of excretion and have urinary incontinence... Back fracture in the elderly. Sex hormones are considered very important factors in maintaining bone strength... In women, when they enter menopause, the production of these hormones stops. In men, the amount of production of these hormones decreases to a great extent as they age. For this reason, osteoporosis is one of the common diseases in the elderly and can lead to multiple fractures in these people. be fat), have Fractures and fractures can be compressed, which in the term is called deformation... ### Back fracture treatment in the elderly Back fracture treatment in the elderly requires special care and planning due to the special conditions of this age group, such as osteoporosis and general weakness of the body. Non-surgical methods are usually used as the first option, which includes the use of support braces, painkillers and anti-inflammatory drugs, and physical therapy to prevent strengthening the muscles around the spine and improve mobility and improve the injury. But they are effective only if they are performed under the supervision of a specialist doctor and with careful planning. In cases where the fracture is more severe or accompanied by instability of the spine, surgical procedures such as vertebroplasty or kyphoplasty may be recommended. People may suffer severe and multiple fractures in their lumbar vertebrae, and they may even advise the driver to cut the spinal cord at a safe speed.. Preventing these complications.... Does a fracture of the lumbar vertebrae heal?.. Depending on the severity and number of fractures, as well as depending on whether the person has osteoporosis or not, the possibility of recovery is different for different people... Of course, provided that the patient does not have osteoporosis and follows the doctor's orders correctly... The severity of the symptoms caused by these people can be very variable... The greater the number and extent of fractures, the more severe the patient's symptoms.... In mild cases of fractures, the patient may only have a vague pain in the back, but in very severe cases where pressure is applied to the spinal cord, these patients experience numbness and paralysis in their legs. The injury was explained to the patient by the doctor; But if the injury is not severe, usually patients need 48 hours of absolute rest and after that they can walk a few steps a day, but they should avoid putting any extra pressure on the back and rest for a while... These patients should start their activities slowly... - Analgesics such as Diclofenac, Ibuprofen and.... These medicines may lead to stomach ulcers... So it should not be taken on an empty stomach... To prevent stomach ulcers, the doctor usually prescribes famotidine or omeprazole along with prescribes these drugs.. Long-term use of these drugs is not recommended because they cause side effects such as blood pressure, diabetes, obesity, osteoporosis, liver, kidney, cardiovascular disorders, etc.. If the patient's pain is very severe, these drugs can be used in the emergency room.... Self-administration of these drugs is not recommended in any way because it can lead to dependence and addiction. To strengthen the health of bones and reduce the risk of fractures in the future, the consumption of some vitamin and calcium supplements can reduce the consumption of some supplements and vitamins. Next, fractures by increasing bone strength. Also, drugs such as bisphosphonates, including sodium alendronate, help to maintain bone density and consistency by inhibiting the process of bone destruction. In addition, the use of estrogen is also possible for postmenopausal women with osteoporosis. Bone is useful for .... Back fracture surgery In some cases, back spasms may be confused with more serious injuries such as vertebral fractures... Although many spinal fractures do not require surgical intervention, there are certain conditions that doctors consider necessary to perform surgery. Knowing these conditions can help make the correct decision in the treatment process.. In cases where the beads are placed on top of each other and moved, these beads can be fixed on each other with the help of platinum, which is called fusion. In the event of a ruptured intervertebral disc, the damaged disc is removed from an injured lumbar region and replaced with serious injuries. For various reasons such as trauma, accidents or special conditions such as osteoporosis in the elderly. Recognizing the symptoms of this injury and providing timely treatment plays an important role in preventing more serious complications and improving the quality of life. Treatment methods vary depending on the severity of the fracture and the patient's condition, and may include non-surgical or multi-patient treatments. Knowing the factors and methods of prevention can help reduce the risk of this injury...
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