"Auntie, your current condition needs to be operated on as soon as possibleOtherwise, it will seriously affect normal life. ”Recently, in the special needs outpatient clinic of spine and spinal cord surgery of Bijie Hospital of Zhejiang Provincial People's Hospital (hereinafter referred to as "Zhejiang Bi Hospital"), President Zhang Jun carefully reviewed the patient's checklist and recommended a patient with severe lumbar spinal stenosis to be hospitalized for surgery**
Ms. Tan, a 57-year-old patient living in Qixingguan District, Bijie City, developed pain in both lower limbs 4 years ago, which worsened after walking, which can be relieved by rest, and the above symptoms worsened a year ago, and she appeared to gradually worsen intermittent claudication, and the walking distance was less than 200 meters.
Ms. Tan learned that her condition was more serious and she had to undergo surgery** through online consultation, brushing**, etc., but she was very worried about the risk of paralysis after surgery, and in the face of her increasingly serious condition, Ms. Tan asked around.
"I heard about Bijie Hospital of Zhejiang Provincial People's HospitalHere comes a big expert in spineGood at lumbar intervertebral disc herniationMinimally invasive surgery for lumbar spinal stenosis, etc.**So give it a trySee if you can help me**".With the mentality of "give it a try", Ms. Tan hung up Zhang Jun's special needs outpatient number.
Zhang Jun carefully reviewed the patient's checklist and promised to operate on Ms. Tan in person, through patient explanation and guidance, Ms. Tan gradually eliminated her nervousness and decided to be hospitalized for surgery** After full discussion by the spine and spinal cord surgeons, the team decided to plan a three-level lumbar fusion for Ms. Tan.
After being discharged from the hospital, Ms. Tan and her family returned to the Department of Spine and Spinal Cord Surgery to thank Dean Zhang Jun for his superb skills and noble medical ethics, and presented a pennant with "noble medical ethics, excellent medical skills, caring for patients and warm hearts" to Dean Zhang Jun, doctor Jin Peng and general medical staff.
Tips
The main clinical manifestations of lumbar spinal stenosis
1.Intermittent claudication:This is the most common symptom of spinal stenosis. That is, after walking a certain distance, the patient has one or both side of the backache, leg pain, numbness and weakness of the lower limbs to limp, and can continue walking after squatting or sitting down to rest for a few minutes, but the distance is shorter than that of a normal person.
2.Lumbar extension restriction and pain:When the lumbar spine moves from neutral to posterior extension, the small joint capsule and ligamentum flavum behind the spinal canal are pressed towards the spinal canal, and the length of the spinal canal is shortened by 22 mm, the intervertebral foramen narrows, resulting in a sharp increase in intraluminal pressure, and various symptoms appear. The pain is usually mild, lessens or disappears with bed rest, and there are usually no symptoms in the forward bend of the lumbar and obvious when the symptoms are extended backwards. Negative neck flexion test.
3.More complaints, few signs:In the early stages of the disease, spinal stenosis reduces the volume of the spinal canal and nerve root canal to the lower limit of normal, and when the patient is in various forced positions that increase neuraxial pressure, it is often statedHowever, due to a short rest at the time of consultation, the objective examination is often negative, and the main statement is inconsistent with the objective examination. Hospitalized patients are often on bed rest with no obvious signs.
Editor: Zhao Linyue, Yang Li, Editor, Cheng Shuai, Producer, Liu Jinglin, Director, Zhu Guanglun, Source: Bijie Hospital, Zhejiang Provincial People's Hospital, Submission email: bjtvysbj@163com