Patient: Description (onset time, main symptoms, hospital, etc.): Disease: L1 and L2 compressive disc fracture Description (onset time, main symptoms, hospital, etc.): Hello, my mother is 74 years old, 4 months ago, was hit by an electric car, when the right arm fracture, when walking normally, the doctor then only did the brain CT is fine, hospitalized arm 14 days, home three months The day before yesterday, the patient had a CT of the lower back and found that the L1 and L2 compressed disc fractures were causing the pain. The pain medication, playing a bottle, please director Li have a good method of treatment? The patient: Is it life-threatening? Li Ye, Department of Spine Surgery, First Hospital of Jilin University: Hello, first of all, there is no life-threatening. From your description, there should be symptoms of lumbar spinal stenosis. Treatment: (1) If found at that time, you can minimally invasive lower vertebral body kyphoplasty (that is, the vertebral body is propped up to normal height with a balloon and then injected with bone cement) (2) But now it is old, to solve the problem of lumbar spinal stenosis and protrusion of bone blocks into the spinal canal, only surgery, osteotomy, surgery is relatively large, whether the patient can tolerate surgery is a problem, and the degree of osteoporosis of the patient. The patient’s ability to tolerate surgery is a problem, as well as the patient’s degree of osteoporosis. (3) Temporary relief of symptoms can be: 250ml of mannitol 2 times a day, dexamethasone + 100ml of saline 1 time a day Patient: Dr. Li: Through the examination, my mother’s osteoporosis is very strong, the doctor does not recommend surgery. Took VD and calcium mith. Ask my mother to rest longer, can still walk on their own ah Jilin University First Hospital Spine Surgery Li Ye: walking no problem, but lying for a long time, at first walking or hard, if you can still see the fracture line, vertebroplasty is still better, into the bone cement, it does not hurt, you can walk down to the ground. I don’t know if your local hospital can do this kind of surgery Patient: Our hospital here can do it, I went to the most reputable doctor of spine surgery in the First People’s Hospital of our city through an acquaintance, he does not advocate surgery? The first hospital of Jilin University spine surgery Li Ye: this depends on the CT film decision, not to operate is mainly to raise, treatment of osteoporosis + pain patients: Dr. Li, like my mother probably have to rest for how long ah? What are the main medications for osteoporosis? The first hospital of Jilin University spine surgery Li Ye: about 2-3 months Treatment of osteoporosis: (1) oral calcium D; (2) oral Fosamax; (3) intramuscular injection of calcitonin (MIGA or Iguanin) The specific program is 1 + 2 or 1 + 3, choose one can.