PDF(Pubmed)
Abstract：
The thoracolumbar spine is prone to vertebral compression fractures (VCFs). An injury mechanism known as flexion compression is responsible for thoracolumbar spine compression fractures. Usually, this mechanism affects the longitudinal ligament at the front and the front part of the vertebral body as the first components. Pain is the first and foremost symptom; here we present a case report of a 34-year-old male, who came to the hospital with complaints of back pain, and difficulty in breathing followed by a road traffic accident (RTA). MRI and X-ray investigations were done. The patient was diagnosed with a fracture of the anterolateral aspect of the right fourth and fifth ribs and posterolateral aspect of the sixth rib, acute anterior wedge compression fracture of the L1 vertebra, and bilateral minimal pneumothorax and haemothorax. The patient was managed surgically with post-decompression and spinal fusion at the D12-L2 level. The outcomes used were the Oswestry Low-Back Disability Questionnaire, the numerical pain rating scale, and Manual Muscle Testing (MMT). This case report specifies the physiotherapeutic rehabilitation protocol, mainly focusing on techniques like breathing exercises, and upper limb and lower limb strengthening along with trunk and pelvic floor muscles strengthening.
摘要：
胸腰椎容易发生椎体压缩性骨折(VCFs)。一种称为屈曲压缩的损伤机制是导致胸腰椎压缩性骨折的原因。通常,该机制影响椎体前部和前部的纵韧带作为第一组件。疼痛是首要的症状，这里我们介绍一个34岁男性的病例报告，带着背痛的抱怨来到医院，呼吸困难，随后发生道路交通事故（RTA）。进行了MRI和X射线检查。该患者被诊断为右第四和第五肋骨的前外侧和第六肋骨的后外侧骨折，急性前楔形压缩L1椎体骨折，和双侧轻微气胸和血胸。对患者进行D12-L2水平的减压和脊柱融合术后手术治疗。使用的结果是Oswestry腰背残疾问卷，数字疼痛评定量表，和手动肌肉测试（MMT）。本病例报告规定了理疗康复方案，主要集中在呼吸练习等技术上，上肢和下肢加强，躯干和盆底肌肉加强。
