The water waist of the end of the pot is "broken". If you want "bones hard", you cannot "calcium".

Aunt Hu, 67, who lives in Changsha, has pain on the back of the back after a pot of water at home. He has a severe degree. He diagnosed the lumbar spine compressed fracture (L1) in the outer hospital.

After more than a month, Aunt Hu's symptoms did not improve, but the back pain increased significantly. Under the introduction of relatives, Aunt Hu came to the spine surgery of the Second People's Hospital of Hunan Province.

Compared with the inspection of Aunt Hu a month ago, due to the lack of timely intervention, the compressed fracture (L1) of the lumbar spine was significantly aggravated. The rear malformation occurred in the chest and waist segments, and the bone density examination showed osteoporosis.

This means that the problem that could have been solved by correct conservative treatment or a simple minimally invasive surgery (percutaneous vertebral formation or post -convex forming). Now she can only perform open surgery. Well. As shown below.

Osteoporosis vertebral compressed fracture

Bone loosening due to decreased bone volume of the whole body and the increase of bone brittleness caused by the damage of the bone tissue microstructure, it is easy to secretly develop into fractures, as shown in the figure below.

At present, the treatment of osteoporosis vertebral compressed fractures is mainly conservative treatment and surgical treatment. Conservative treatment mainly includes analgesic treatment, bed rest, branches fixed, and rehabilitation treatment.

Surgical therapy includes perioplasyal osteophytes (PVP), talcidal formaloid (PKP), and open surgery. Among them, PVP and PKP treatment of osteoporotic vertebral compressed fractures can achieve rapid pain relief, restore recovery The height of the vertebral body, strengthen the intensity and stiffness of the fracture vertebral body, and correct the convex deformity.

Therefore, it is recommended to have a minimally invasive surgical treatment with conditional patients to improve the quality of survival of patients with compressed fractures.

Anti -osteoporosis treatment

In addition, in addition to conventional surgical treatment, the compressed fracture of osteoporosis vertebral body must be treated with anti -osteoporosis to inhibit the rapid loss of bone mass after surgery, improve the control and stability of the fracture in the fracture, and the stability of the fracture. Promote the fracture to prevent the prevention of fracture.

The first reaction of many patients is calcium supplementation. As we all know, calcium is one of the important basic raw materials for bone coordination. It is most important for the prevention and treatment of osteoporosis. Not enough, if you want "bones hard", you can't say "calcium".

Anti -osteoporosis therapy includes basic prevention and treatment measures and anti -osteoporosis drugs.

Basic prevention measures include adjusting lifestyle, functional exercise and prevention, as well as calcium supplements, vitamin D, etc.

Common anti -osteoporosis drugs include bone absorption inhibitors (bicotinate, calcium calcium, estrogen/progesterone, Rylockeefen, etc.), bone formation promotion agent (thyroid gonadotin analog) and other other Active vitamin D, vitamin K, 锶 salt, etc.

Whether it is surgical treatment or changing basic prevention measures such as lifestyle, it cannot replace anti -osteoporosis drug treatment.

The treatment of osteoporosis and osteoporosis vertebral compressed fracture therapy for osteoporosis and osteoporosis vertebrae in Hunan Province. We emphasize three levels of prevention and control.

The first level is the prevention and treatment of the cause. Mainly prevent osteoporosis by establishing a good diet and living habits. By supplementing calcium and vitamin D, proper exercise, maintaining weight, quitting smoking and excessive drinking to prevent osteoporosis.

The secondary is a third morning preparation. For patients with dangerous factors (bone density and bone metabolism), early detection, early diagnosis, and early treatment of osteoporosis;

Calcium and vitamin D can be used for life as basic drugs. After menopause, two -long phosphate drugs can be taken. Estrogen can be used for alienation during the menstrual period. Selective estrogen receptor regulators are generally used for 5 years after menopause. For 75, 75 Patients over the age of age can intermittent use of calcium and thyroid hormones.

Third -level control is rehabilitation treatment. The purpose is to treat osteoporosis fractures, reduce complications caused by osteoporosis fractures, while preventing osteoporosis fractures again;

For osteoporosis, compressed fractures of the vertebral vertebral body can be considered by minimally invasive percutaneous vertebral formation or talcidthylemctomy. If necessary, surgical treatment is required, and anti -osteoporosis, functional exercise and rehabilitation treatment are performed early.

(Edit ZS. Part of the picture source network, invading deletion)

Hunan Medical Chat Special Author: Hunan Province Second People's Hospital Spinal Surgery Cover Jingying

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