Compared with losing a life, breaking the skull and spine is certainly not a big problem. But as a healthy person, skull and spine fractures are a considerable problem. The secondary injury caused by skull fracture is much more serious than the fracture itself. When skull fracture is found by X-ray plain film examination, we should be alert to the occurrence of intracranial hematoma and pay attention to the change of the condition within 48 hours. If the condition worsens, head CT examination should be carried out as soon as possible to find intracranial hematoma in time. If the fracture block is inserted into the brain or compresses the functional area, causing seizures, surgery should be performed as soon as possible. Spinal fractures are more common in young men. Most of them are caused by indirect external forces, such as the hip or foot landing when falling from a height, and the impact external force is transmitted to the chest and waist to cause fractures; A few are caused by direct external forces, such as house collapse and crush injury, car crush injury or firearm injury. Severe illness can lead to paraplegia and even life-threatening; Improper treatment of simple compression fractures can also leave chronic low back pain. Clinical manifestations: 1, local spinal pain after trauma, limited movement, deformity and tenderness. 2. Incomplete or complete paralysis may occur. Such as sensory and motor dysfunction and dysuria. Diagnostic basis: 1, trauma; 2, local pain, limited activity, or paralysis, tenderness, deformity. 3.x-ray photos have fractures. Treatment principle: 1, simple and stable fracture, hard bed rest, symptomatic treatment. 2, unstable fracture, emergency reduction, or occipital reduction gradually, surgical bone grafting and internal fixation when necessary. 3, complicated with spinal cord injury, if conservative treatment fails, laminectomy, fracture reduction and internal fixation.

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