Xi’an News Network News Lumbar vertebral compression fractures generally occur in middle-aged and elderly people with osteoporosis. At this time, the treatment effect of bone cement injection is better. Because the osteogenic ability of the elderly with lumbar vertebral compression fractures is reduced, the healing is slow, and the healing requires a stable environment. In this case, injection of bone cement is the best treatment.
Recently, the Department of Orthopedics and Traumatology of Xi’an Peace Hospital of Traditional Chinese Medicine successfully performed minimally invasive bone cement surgery for an 84-year-old man with 12th thoracic and 4th lumbar vertebrae. The doctor completed the operation under local anesthesia, and the old man was conscious during the operation. During the operation, Director Luo Qi of the Orthopaedic Department encouraged and comforted the old man while positioning the operation. On the second day of the ward round, the pain of the old man had subsided and he was able to get up and walk.
Preoperative: 12th thoracic and 4th lumbar compression fractures
84-year-old Aunt Xu accidentally fell 3 days before admission. At that time, she was sitting on the ground with her buttocks on the ground. She immediately felt lower back pain accompanied by limited movement. The pain was a persistent dull pain, which was aggravated when she turned over and got up, and relieved after lying down and resting. , with bilateral groin pain radiating. Three days later, the pain persisted, and Aunt Xu was unable to sleep at night, so she came to the hospital for treatment. After being hospitalized, the doctor learned that Aunt Xu had a history of hypertension for more than 30 years, up to 160/90mmHg, and was well controlled by medication; a history of coronary heart disease for more than 30 years, she had been taking oral medication.
Orthopedic Traumatology Luo Qi The director performs surgery on the patient
In view of the actual condition of the elderly and suffering from underlying diseases, the orthopedic team led by Director Luo Qi of the Department of Orthopedics decided to adopt an operation that the elderly can tolerate after an overall evaluation The method, namely vertebroplasty with less trauma and quick recovery, is also called bone cement surgery. The operation principle is similar to the perfusion technology of construction. The puncture needle is used to accurately align the upper and middle ends of the vertebral body under fluoroscopy, and the bone cement is injected into the fractured vertebral body. After solidification, it can support and fix the fractured vertebral body. Restoring stability, postoperative pain will reduce or disappear, and further collapse of the fractured vertebral body will be prevented. After communication, Aunt Xu and her family agreed unanimously and demanded surgery to resolve the pain of the elderly as soon as possible.
In order to ensure safety, the hospital used the operating room equipped with Philips 3D imaging DSA vascular machine (Big C) for Aunt Xu. The old man is in the prone position, and then uses the large C to locate the segment that needs surgery, configures local anesthesia at the location for local anesthesia, then takes the working sleeve puncture needle, and after repeated positioning, injects bone cement into the vertebral body. During the injection process, it is necessary to check the distribution of bone cement through fluoroscopy to prevent nerve damage caused by the exposure of bone cement into the spinal canal. After the filling is complete, it is necessary to wait for the bone cement to harden, and finally the operation is completed.
At 7:00 the next morning, Director Luo went to visit Aunt Xu by the bedside. Auntie happily said that the pain was gone, slept well at night, and showed Director Luo to walk on the ground. Seeing that the old man is no longer in pain, the hearts of the whole family are also put down.
According to Director Luo, in order to prevent further fractures, the elderly will be given preventive treatment for osteoporosis in the later stage.
Peng Shuo, an all-media reporter from Xi’an Newspaper, Photo courtesy of the interviewed hospital