骨质疏松症患者腰椎压缩性骨折的保守治疗：一例报告
Conservative management of a lumbar compression fracture in an osteoporotic patient: a case report.
作者信息
Papa John A
机构信息
Private Practice, 338 Waterloo Street Unit 9, New Hamburg, Ontario, N3A 1T6. E-mail:
出版信息
J Can Chiropr Assoc. 2012 Mar;56(1):29-39.
Abstract
OBJECTIVE
To chronicle the conservative treatment and management of an osteoporotic patient presenting with acute back pain resulting from a lumbar compression fracture.
CLINICAL FEATURES
A 74-year old male presented with acute back pain in the thoracolumbar region after an episode of lifting. Radiographic evaluation revealed generalized demineralization and a moderate wedge compression fracture at L1.
INTERVENTION AND OUTCOME
The conservative treatment approach included postural education, activity modification, interferential current, taping into extension, Graston Technique(®), and rehabilitative exercise prescription. Outcome measures included verbal pain rating scale, medication use, and a return to activities of daily living (ADLs). The patient attained long-term symptom resolution with no recurrence of pain at 12 month follow-up.
SUMMARY
A combination of conservative rehabilitation strategies may be successfully implemented to treat osteoporotic patients with mild to moderate osteoporotic vertebral compression fracture of the lumbar spine.
摘要
目的
记录一名因腰椎压缩性骨折导致急性背痛的骨质疏松症患者的保守治疗及处理过程。
临床特征
一名74岁男性在一次提举重物后出现胸腰段急性背痛。影像学评估显示全身骨质减少以及L1椎体中度楔形压缩性骨折。
干预措施及结果
保守治疗方法包括姿势教育、活动调整、干扰电疗法、伸展贴扎、格拉森技术以及康复运动处方。结果指标包括口头疼痛评定量表、药物使用情况以及恢复日常生活活动能力。患者在12个月随访时实现了长期症状缓解且疼痛未复发。
总结
多种保守康复策略相结合可成功用于治疗患有轻度至中度腰椎骨质疏松性椎体压缩骨折的骨质疏松症患者。
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