胸腰椎骨折 - 手術

女性長輩72歲，上星期五在彎腰幫忙時，被重物砸到背上，當場趴在地上極度疼痛，無法
動彈，被救護車送急診室。

在急診室照CT說是T4、L1、L4有compression fracture，打了強效止痛跟類固醇，之後MR
I檢查說沒有問題，需要休養。雙腳在住院時持續抽筋，而且無法移動，需要兩個人從床
上拉起扛著才能用移動式馬桶。

IMPRESSION:
T4 and L1 compression fractures. At L1, there is mild retropulsian and mild ca
nal stenosis overall. There is a compression fracture of the T4 vertebral body
with mild retropulsion
inferiorly and no significant canal stenosis as a result.
There is also an acute compression fracture of L1 with mild retropulsion and o
verall mild canal stenosis. No other fractures are identified.

There is a compression fracture of the l4 vertebral body with mild retropulsio
n and overall mild canal stenosis.
There is 6 min anterior subluxation of L4 on L5 from facet hypertrophy.
At L4-LS, there is mild canal stenosis. There is inferior neural foraminal nar
rowing without significant nerve toot encroacation:
IMPRESSION:
1. L1 compression fracture with mild retropulsion and overall mild canal steno
sis.
2.6 mm anterior subluxation of L4 on L5 secondary to mild facet hypertrophy.
There is resultant mild canal stenosis

星期一被轉到療養院至今，今天事發第五天，長輩還是無法自行坐起，而且雙腳還是在抽
筋。因為是美國鄉下小醫院，家人怕誤診而延誤治療，畢竟是有下半身癱瘓的可能，想請
問大家的意見。是否應該另外找醫生做檢查看骨折地方有沒有需要做手術或是神經檢查看
有沒有影響神經？還是應該持續休養，不要亂移動？如果休養的話，請問大約復原時間？

謝謝大家的意見。

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