What about lumbar fracture?

After the lumbar fracture, the spine should be fixed with a hard bed or a hard stretcher to move as a whole, and the photos of the lumbar spine and the CT examination of the vertebral body at the fracture site should be improved to clarify the specific fracture segment, fracture degree and nerve influence on the lumbar spine. For most lumbar fractures, they are generally compression fractures, which are often caused by falling from a height. The common part is the thoracolumbar segment. For fractures below the 2 nd and 3 rd segments of the waist, because the end of the adult spinal cord is above, it often has little effect on the nerves and is not easy to cause paralysis of the lower limbs. However, there may be symptoms of cauda equina nerve compression, that is, sensory, motor and defecation dysfunction in the perineal saddle area. For the fracture of waist 1, or two lumbar segments, because it can compress and affect the conus medullaris, paralysis of both lower limbs can occur. These fractures are usually vertebral burst fractures, or three-quarters of them are compressed. These fractures usually require surgery and neurological symptoms. First of all, methylprednisolone granules are needed to protect the nerves. Surgery is usually performed by fenestration of the back, interbody bone grafting and fusion, and rehabilitation treatment is given to nourish nerves and stimulate the recovery of nerve function. Of course, these patients with mild compression, such as one quarter compression, good inner wall of spinal canal, no nerve compression, no lower limbs and defecation dysfunction, can generally be treated conservatively. It can often be treated by lying on a hard bed, continuous overstretching and traction reduction, lumbar support fixation, detumescence and pain relief, drugs for promoting blood circulation and dredging collaterals, and commonly used trauma tablets.