Treatment of Vertebral Compression Fractures with preoperative Lumbar support pad reduction: 19 cases and a literature Review of Physically Assisted Therapy 

Abstract

Background Vertebral Compression Fractures and dislocation is usually treated by posterior open reduction nail or internal fixation system, but the high altitude lumbar surgery carries great risks. When the collapse of the vertebra fails to return to the normal height, kyphosis will occur in the later stage of the spine. For the patients with thoracolumbar vertebral compression fracture with pyramidal collapse, preoperative reduction of lumbar support pad was adopted, and good clinical results were obtained.Case presentation: According to the strict screening criteria, 19 patients with thoracolumbar compressibility fracture who will be treated in our hospital in 2021 were selected. All the selected patients were confirmed by imaging examination and the cone front height of compression fracture was measured before surgery. All patients received preoperative reduction treatment with lumbar support pads, and were reexamined after the treatment. The results showed that all patients had significant recovery in their lumbar spine, with VAS scores and activity function scores significantly superior to those before the treatment (p < 0.05). The height between vertebrae in all patients returned to the normal range, with 67.3% of patients having the best pyramidal recovery.Clinical discussion: The plateau has high altitude, low atmospheric pressure, and low oxygen content. It is extremely difficult to perform surgery on thoracic and lumbar vertebral compression fractures at high altitude. Preoperative adjuvant treatment is usually required to alleviate the condition, and then the patient is transferred to a low altitude area for surgery. In this study, lumbar support pads were used as an adjunct treatment to significantly improve the lumbar spine.Conclusion Preoperative reduction of lumbar support pad can effectively relieve the pain of patients with thoracolumbar compressibility fracture, effectively restore the height of compressed vertebral body before surgery, and effectively improve the patients' limited mobility. This treatment method is worth promoting in plateau medical institutions.