1.When should I get off the ground after surgery? A: The time for spinal surgery patients to get off the ground depends mainly on the surgical procedure, age, bone condition and other factors. (1) Patients after simple open decompression nucleus pulposus removal and discoscopy are generally bedridden for 2-3 weeks because no internal fixation is performed, and they need lumbar girth protection when they go down to the ground; (2) Patients after lumbar fusion (internal fixation) are generally bedridden for 1 week if the bone quality is not particularly lax, and then they gradually go down to the ground under the protection of lumbar girth; (3) Patients after lateral approach surgery can generally go down to the ground under the protection of lumbar girth on the second day after surgery (4) Patients who underwent anterior cervical spine surgery can generally move on the ground after postoperative review of films (about 3 days after surgery); (5) Patients who underwent PKP surgery for osteoporotic fractures in the elderly can generally move on the ground after postoperative review of films (about 2 days after surgery); (6) Patients with cervical fractures can generally move on the ground after 1 week after surgery, and patients with thoracolumbar fractures can generally move on the ground after 2-3 weeks after surgery under the protection of braces. 2.When can I turn over after surgery? A: Patients can move their limbs when they return to the ward after anesthesia, and physicians also encourage patients to actively move their limbs; they can sleep in supine or lateral position, and when they sleep in lateral position, the pillow is as high as the shoulder (the neck is 90° from the shoulder), so that the neck will not be twisted and is comfortable; patients can turn over axially when they return to the ward (the patient’s family protects the patient’s head and places both hands on the patient’s shoulder and hip respectively to help the patient turn over). (The patient’s family protects the patient’s head, places both hands on the patient’s shoulders and hips respectively, and helps the patient turn over). 3.How to do functional exercise after surgery? A: Functional exercise for postoperative spine patients follows the principle of “gradual and orderly, according to the patient’s ability, and as far as possible”. Functional exercise after spine surgery is very important, Chinese medicine is concerned about “tendons and bones”, for the spine “tendons” is equivalent to the muscles, ligaments and other soft tissues around the spine. The spine is a chain of bones and joints composed of vertebrae and intervertebral discs, the spine as the central axis of the bone, all the organs and tissues of the thoracic and abdominal cavity are “hanging” on it, if the muscles and soft tissues around the spine are not developed and strong enough, the spine itself will be under great pressure, long-term degeneration of its intervertebral discs accelerated, resulting in disc herniation, intervertebral instability, nerve compression. nerve compression. Therefore, patients must pay attention to the functional exercise of the posterior spinal muscles. (1) All patients can perform straight leg raising exercises for both lower limbs about 3-7 days after surgery; (2) Functional exercises for the lumbar back muscles are recommended to start about 4 weeks after surgery, and the five-point support method is recommended (supine position, bilateral knee flexion, bilateral foot, bilateral foot, and five points of the head). 4.Does the postoperative period require adjunctive drug therapy? Is there any special diet? A: (1) The diet is decided according to the presence or absence of underlying diseases such as hypertension and diabetes, and there are generally no special contraindications, and a balanced nutrition is appropriate. (2) For patients with severe nerve compression, numbness and discomfort in the limbs, they can take some nerve-nourishing drugs, such as Micropôle, after surgery; (3) For patients with osteoporosis, it is recommended to actively treat anti-osteoporosis after surgery to prevent re-fracture, loosening of internal fixation and promote bone fusion. If the bone is osteoporotic, the screw fixation on the vertebrae is like a wooden stake fixed on the beach; if the bone is not osteoporotic, the screw fixation on the vertebrae is like a wooden stake fixed on the firm yellow ground, and the strength of the two is very different.