沙袋垫枕锻炼法治疗胸腰段稳定型屈曲压缩性骨折(英文)

The treatment of stable inflectional vertebral compress fracture of thoracolumbar spine with sandbag pillow and exercise

目的:沙袋垫枕加背伸肌锻炼法治疗胸腰段稳定型屈曲压缩性骨折。方法:胸腰段稳定型屈曲压缩性骨折100例,外伤后二三天开始,每隔3～5d,分别应用由低到高4种规格的沙袋垫于胸腰段,维持过伸位至8～10周,每垫枕3h,用整体滚动法可左右侧卧半小时。锻炼应从垫枕后一两天开始,仰卧锻炼法分为5点支撑法和3点支撑法,前者原则为3次/d,30min～1h/次,不少于100次/d,渐过渡到逐日增加2min,次数5～10次/d;后者在前者应用3周后开始。俯卧位锻炼法要求在骨折后4周开始。结果:以Dennis评定方法:74例获随访的患者中,4例腰背部轻度疼痛,1例中度疼痛,1例持续疼痛伴下肢麻木、轻度尿失禁,余均治愈;复查X射线片,原压缩椎体的Cobb角减少5～35°,平均17°。结论:此法治疗胸腰段稳定型屈曲压缩性骨折简便易行,疗效确切。

AIM:To treat the stable inflectional vertebral compress fracture of thoracolumbar with sandbag pillow and back extensor exercise . METHODS:After traumatism , the sandbag pillow of four specification from low to high were underlay to the thoracolumbar respectively every other 3 to 5 days, kept excessive extend posture for 8 to 10 weeks. When the sandbag pillow was underlain for 3 hours, trundle the body for sleeping in left or right posture for half an hour. Exercise started after the sandbag pillow were underlay for 1 or 2 days. Supine exercise techniques included 5 points shoring and 3 points shoring. The former was 3 times per day,30 minutes to 1 hour once, more than 100 times per day and increased to 2 minutes and 5 to 10 times per day gradually. Three weeks later, the latter group started after vertebral compress fracture 4 weeks, pronate exercise started. RESULTS:According to Dennis assess: of the 74 follow up patients, 4 remained low grade pain on back and waist, 1 remained mid grade pain, 1 remained continued pain and gone with the complications of low limbs anaesthesia and urine incontinence. The rest were cured.Cobb angles decreased 5°-35°(mean 17°) compared to original by X ray examination in reexamination. CONCLUSION:This conventional therapy is easy to learn and popularize to treat compression fracture , and attained therapeutic success.