What causes lumbar compression fractures in the elderly, and how should they be managed?

In general, compression fractures of the lumbar spine in elderly individuals may be caused by factors such as decreased muscle strength, weight gain, osteoporosis, intervertebral disc herniation, and rheumatoid arthritis. If the above conditions occur, it is recommended to visit a正规 hospital and receive treatments such as conservative management or medication under the guidance of a physician. The specific analysis is as follows:

1. Decreased Muscle Strength

With increasing age, the strength and flexibility of the lower back muscles decline, weakening spinal support and making injury more likely, which can lead to lumbar compression fractures in the elderly. Regular strengthening exercises for the muscles are necessary in daily life.

2. Weight Gain

Excessive intake of high-calorie and high-fat foods can lead to weight gain, placing additional stress on the lumbar spine, increasing fracture risk, and potentially causing lumbar compression fractures in the elderly. It is important to maintain a healthy weight through balanced nutrition and adequate dietary intake.

3. Osteoporosis

Osteoporosis may result from aging, malnutrition, or other causes, leading to reduced bone density and weakened bones. Even minor trauma can increase bone fragility, triggering lumbar compression fractures in the elderly. This condition is often accompanied by symptoms such as reduced height and back pain. Patients may take medications such as alendronate sodium tablets, calcium carbonate D3 tablets, or calcitriol soft capsules under medical supervision to improve bone health.

4. Intervertebral Disc Herniation

Disc herniation may be caused by trauma or aging, resulting in disc degeneration and loss of elasticity. This reduces the disc's ability to absorb mechanical stress, increasing load on the vertebral bodies and potentially leading to the aforementioned symptoms. Additional symptoms may include pain and difficulty moving. Patients should follow medical advice to use medications such as mecobalamin tablets, vitamin B1 tablets, or ibuprofen sustained-release capsules for treatment.

5. Scoliosis

Scoliosis may be caused by long-term poor posture or genetic factors. As elderly individuals age and develop osteoporosis, their vertebrae become increasingly fragile. Under the influence of scoliosis, the vertebrae on the convex side are subjected to chronic excessive pressure, making trabecular microfractures more likely. Symptoms may also include pain and fever. Patients should follow medical advice to use medications such as amoxicillin capsules, ceftriaxone sodium for injection, or azithromycin dispersible tablets for treatment.

Daily management should emphasize moderate physical activity, a balanced diet, maintaining a healthy body weight, regular bone density testing, and prevention of falls and accidental injuries to improve overall quality of life.