2008年6月29日星期日

The causes of spinal fractures and treatment

Most of the spinal fractures due to falling or is injured by landslides, usually combined with other organ damage. More common in young and middle-aged men. Spinal fractures more than a serious fracture, such as Event of the need for a long time, the following is the cause of spinal fractures caused and diagnosis, treatment methods, and also with sequels, because the disease caused more by external forces indirectly, Hope that we normally more careful to minimize the occurrence of the disease. [Causes] Indirectly caused by an external force, the ground dropped at the height of the hip or foot, the upward force of the impact spread to thoracolumbar fracture. 2 small number of external forces caused by direct, such as the collapse of the house injured, cars pressure bruises or gunshot wounds. [Symptoms] After a spinal injury pain, can not stand, deformity and tenderness, turned difficult. 2 may have incomplete or complete paralysis of the performance. If you feel, loss of motor function, urine and other obstacles. [Check] 1 blood, urine routine, conventional feces. 2 liver function, kidney function. 3 X-examination. 4 cardiovascular examination. 5 B-ultrasound examination. 6 cerebrospinal fluid test. 7 nuclear magnetic resonance (MRI) examination. 8 CT examination. 9 EEG, EMG. [Diagnosis] Have a history of trauma. 2 injured after local pain, swelling, or paralysis, tenderness, deformity and can not stand up, stand up difficulties. 3 retroperitoneal hematoma stimulate the sympathetic nerve plexus with abdominal distention and pain, such as. 4 X-radiography that vertebral wedge changed, comminuted fracture or dislocation, that the annex fracture. 5 cervical spine fracture at the head and neck pain, did not dare, often entrusted to their hands first. Central axis of suspected fracture of mouth should make X-ray film. 6 to check the two lower limb movement, feeling and perineum feeling to make it clear whether spinal cord injury. [Treatment] A simple, stable fracture, lying hard Banchuang rest, due to low back muscle training, symptomatic treatment. 2 unstable fracture or dislocation, while the relevant section locked sudden, multiple lines open reduction and internal fixation. 3 with spinal cord injury, if conservative treatment fails, to decompression laminectomy, fractures within the re-fixation. [Prognosis] Serious condition can be caused by paralysis, or even life-threatening; improper treatment of simple compression fractures, can also be left with chronic low back pain.

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