Symptoms of sciatic fracture?

summary

Sacral fissure, also known as "spina bifida", refers to the fracture of different degrees in the spinous process or lamina due to the non union of the posterior vertebral arch on both sides. It can have one or more defects. It is a common congenital dysplasia with an incidence of about 20%. Most of them were in the lower lumbar vertebrae and upper sacral vertebrae, especially in L5 and S1. Symptoms of sciatic fracture? Let's talk about it

Symptoms of sciatic fracture?

1. Pain patients who complained of persistent pain in the sacrum after trauma should be examined carefully. Clearly, strip tenderness is mostly caused by fracture, and the fracture line can be determined along the direction of tenderness; Conduction percussion pain is lighter than lumbar fracture, especially in standing position.

2. When the patient is afraid of sitting, the gravity directly acts on the sacrococcygeal region and causes pain. Therefore, when the patient comes to see a doctor, he likes to take a standing position or sit on one side of the hip.

3. Subcutaneous congestion because the sacrum is shallow, deep injury is easy to expose in the subcutaneous, so the hematoma, subcutaneous congestion or skin contusion, abrasion and so on can be found in the physical examination.

matters needing attention

For the patients with tethered cord syndrome caused by spina bifida, it is suitable for surgery, and it is recommended to give surgical treatment as soon as possible. Children usually use basic anesthesia and local anesthesia, and individual use tracheal intubation general anesthesia; Adults were given intensive anesthesia plus local anesthesia or epidural anesthesia. Whether the lesion is in the cervical, thoracic or lumbosacral segments, supraspinous straight incision is used to expand the lamina incision above and below the segment of spina bifida. If the patient has obvious urinary incontinence, catheterization should be performed to keep the surgical site clean and hygienic; Children should be strictly prevented from the pollution of urine and feces, and antibiotics should be used to prevent infection. Rehabilitation treatment, such as physical therapy, acupuncture, massage and limb function exercise, can be added after the wound stitches are removed, and neurotrophic drugs can be applied to promote the early recovery of neurological function.