She stood up again!The 21 -year -old girl accidentally fell down, and the orthopedic doctor had a successful treatment of emergency surgery

"I thought I couldn't stand anymore. Fortunately, you were rescued in time. You changed me and thanked me!" Yesterday, Ma Bin, chief physician of Tongji Hospital affiliated to Tongji University, received such a message.

A text message reminds him of the thrilling rescue 2 months ago.

On May 2nd, the Shanghai epidemic prevention and control is important. On this day, a 21 -year -old girl Xiaomei accidentally fell from a high place, her waist could not move on the ground, her lower limbs were numb and could not stand, and an unknown premonition rushed to her heart.

Fortunately, the green passage opened in the short period of time, and Xiaomei was successfully sent to Tongji Hospital for treatment.

The hospital quickly organized spinal surgery experts to consult. In the case of secondary protection, Mibin checked the patient's condition. The patient's lower limbs were decreased, and the bilateral iliac muscle muscle strength decreased (V-level).

Emergency thoracic lumbar spine CT reminder: chest 12 spiny tribute, waist 1 vertebral body, waist 1 vertebral horizontal projection and both vertebral arches, waist two vertebral body and attachment fractures on both sides with waist 2 horizontal spinal stenosis (waist 2 vertebral burst burst fracture). He immediately performed Xiaomei's income hospital for surgery. After being admitted to the hospital, the lumbar vertebrae magnetic resonance reminder: The waist 2 vertebral body and the attachment fractures on both sides are accompanied by the waist 2 horizontal spinal stenosis and the spinal cord pressure (the lumbar 2 vertebral burst fracture).

Broken fractures and spinal cord pressure. Listening to these names alone is undoubtedly a thunderbolt for Xiaomei without a medical background. "Will you not stand anymore in the future?" "

With the support and confidence of the medical team, on May 5th, the Tongji spine surgery team performed the "lumbar spine fracture cut reset+spinal canal decompression bone fusion internal fixation" under the general anesthesia. smoothly.

On May 16th, Xiaomei was discharged smoothly. When she was discharged, her lower limbs were shallow and bilateral illegal lumbar muscle strength had been restored. No complication and sequelae were left. This young girl could run away happily Essence

It is reported that when the lumbar vertebral explosion fracture is the most serious, it will cause paralysis. When a fracture occurs in this part, if the burst bone block is shifted into the vertex into the spinal canal, it will cause nerve roots and spinal cord pressure. It may directly stab the spinal cord and nerve, which can cause irreversible damage of the spinal cord nerve. In the most serious, the lower limb muscle sensation is lost and the lower limb is paralyzed.

Lumbar vertebral burst fractures are generally performed in the early stage because it belongs to a unstable fracture. It is often poor through conservative treatment. Select the internal fixation of lumbar fracture and cutting, spinal canal decompression and bone planting. During the operation, the spinal canal should be reduced, and the bone blocks that have been missed into the spinal canal should be completely removed. The fracture block should be fixed and fixed with the upper vertebral and lower vertebral body. Relieve the symptoms of nerve and spinal cord and make patients recover well.

Author: Li Chenzhen Zhao Sisi

Edit: Li Chenzhen

Editor in charge: Jiang Peng

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