Dazhong Net·Poster News reporter Xu Ling correspondent Cao Kun reported from Jinan
“I just bent over to lift something recently, and my back hurt so badly, and there is no I fell down, why did I still have a fractured spine?” Aunt Wang was very puzzled after hearing this. Sun Limin, Director of Spine and Spinal Surgery of the Third Provincial Hospital of Shandong Province, considered the patient’s condition as a senile osteoporotic spinal fracture.
However, the MRI finally confirmed the diagnosis of “thoracic vertebral fracture (T11)”. Sun Limin introduced that with the aging of the population, the number of patients with osteoporotic spinal compression fractures has increased significantly. Many patients have no clear history of trauma. Because the symptoms of fractures are not typical, for example, thoracolumbar fractures can be manifested as lower waist or lower back. For lumbosacral pain, it is easy to miss the diagnosis because it only focuses on the painful part during the examination. Fractures of the thoracic and lumbar spine can also manifest as chest pain, abdominal pain and other symptoms, and are easily misdiagnosed as cardiovascular, digestive, urinary and other system diseases. When elderly patients have low back pain that is related to postural changes and cannot be explained by previous medical diseases, even if there is no history of trauma, they should be alert to the possibility of osteoporotic fractures.
In the case of Aunt Wang, Sun Limin suggested that Aunt Wang should undergo surgery as soon as possible. When she heard that she was going to have surgery, Auntie Wang was worried.
“Doctor, I’m so old, I have high blood pressure, coronary heart disease, diabetes, and my heart has a stent. Can I have surgery?”
< p>“It’s said that spinal surgery is risky, so you won’t be paralyzed, right?”
“The children are all out of town, and they won’t be able to come back due to the epidemic, my wife. My son is still in poor health, and my wife and son have no one to take care of me when I am hospitalized!”
Looking at Aunt Wang who was helpless, Sun Limin explained: “Auntie, osteoporotic spinal compression Fractures are basically in elderly patients, and it is very common in 80s and 90s. The maximum age of our patients who have undergone surgery is 97. The minimally invasive vertebroplasty is used, and only a needle is pierced under local anesthesia. Bone cement is injected into the fractured vertebral body, the pain can be relieved, and the operation can be completed in about half an hour. The surgical trauma is very small, and it is also suitable for the elderly. If your physical condition allows, you can also perform day surgery. You can be discharged from the hospital within 24 hours, so you don’t have to worry about the care of your escort and your wife.”
Auntie Wang successfully completed the routine preoperative examination at the outpatient clinic. After evaluation, the contraindications for surgery were ruled out. Auntie Wang met the standard of day surgery and made an appointment for the day surgery the next day.
At 9:00 am, Aunt Wang went through the hospitalization procedure and was admitted to the spine and spinal cord surgery. The medical team immediately performed osteoporosis and vertebroplasty surgery. Health education mission, complete preoperative conversation.
At 11:00, Aunt Wang entered the operating room.
At 11:20, the operation ended successfully. Auntie Wang immediately felt that the pain in her lower back was no longer and she returned to the ward safely.
In the afternoon, complete reexamination and anti-osteoporosis treatment, and observe overnight.
Aunt Wang was discharged from the hospital at 8:00 the next morning.
When she was discharged from the hospital, Aunt Wang was full of praise for the superb technique of the spine and spinal cord surgery expert team. The operation solved the pain for nearly two months. During the epidemic, I was only hospitalized for one day. This kind of day surgery is too convenient for the elderly like us whose children are not around!
Sun Limin introduced that many elderly patients with osteoporotic spinal fractures were able to take care of themselves before the disease, but after the disease they were unable to turn over, get up, or go to the toilet. Most elderly patients often have various underlying diseases. Complications caused by long-term bed rest may be fatal. Therefore, when physical conditions permit, the preferred treatment method is surgery. The Spine and Spinal Cord Surgery of the Third Provincial Hospital of Shandong Province is a specialty specialty of minimally invasive surgery for spinal fractures. This type of surgery has been successfully carried out for nearly 20 years, with mature technology and standardized postoperative management, benefiting many elderly patients. The department actively carries out day surgery for vertebroplasty, and patients who are eligible for day surgery can be admitted and discharged within 24 hours after examination, allowing patients to return to normal life earlier on the premise of ensuring the treatment effect .