What is the treatment of tailbone fracture

Treatment of coccyx fracture:

1.Treatment principle

(1)Non-displaced person 3~4 weeks of rest in plank bed and get up and move around in plaster shorts; in sitting position, it should be padded with air cushion or sponge, etc., in order to protect the localization and relieve the pressure.

(2)For mild displacement, after local anesthesia, it will be gradually reset by anal finger-pointing, and then repeated once after 2~3 days to maintain the alignment.

(3)Severe displacement After local anesthesia, manipulation is applied through anal diagnosis, and if it is not possible to return it, or if the alignment cannot be maintained, open restoration and internal fixation can be performed as appropriate.

(4) Pelvic fracture should be the main treatment for pelvic fracture, including bed rest (frog position), double lower extremity tibial tuberosity traction therapy, open reduction and internal fixation.

(5) Sacral nerve compression can be preceded by local closure therapy, and surgical decompression is needed when it is ineffective.

2. Special types of fractures and their management

(1) Sacral longitudinal fracture with separation of sacroiliac joints In addition to open reduction and internal fixation in a few cases, most of the cases will be treated non-operatively according to the following order: (1) traction and reduction; (2) pelvic bib suspension traction; (3) gypsum shorts fixation.

(2)Transverse fracture of the upper sacral region Sacral nerve root injury is accompanied by the need for surgical treatment, during the operation to remove the sacral plate in order to obtain nerve decompression. Sacral fractures with significant displacement can be considered to be repositioned by prying. Nonoperative treatment is suitable for mildly displaced cases that are not displaced or can be reset by manipulation.

(3) Lower sacral transverse fracture ① non-displaced fracture only need to take the frog position bed rest for 2 to 3 weeks, if necessary, can be used to close the pain or take a long-lasting painkillers. ② displaced fracture generally under local anesthesia, according to the method of anal fingerprinting, with the finger will gently push the fracture block backward to make the fracture end reset. For those who have failed manipulation and reduction, can be considered to perform incision and reduction and Kirschner's pin internal fixation.

(4) Transverse sacral fracture combined with lumbosacral joint dislocation The treatment is more difficult, and most of them need open reduction and internal fixation; the pedicle nail technique + wire fixation and ligation can be chosen as appropriate.

(5)Simple lumbosacral joint dislocation Treatment is suitable for surgical treatment according to "spondylolisthesis", most of them choose posterior pedicle screw fixation + intervertebral Cage internal fixation.

(6) Bilateral sacroiliac joint dislocation combined with sacral fracture The mild cases only need bed rest for a few days (frog position) with plaster shorts fixation can be, but for the displacement is obvious and manipulation of the failure of reset, then need to carry out open reset and bilateral sacroiliac joint fusion surgery.