After a tiring day, when I got home, I lay down on the couch, I didn't do anything first, I wanted to take a rest, not to mention how comfortable it was!
This is the famous Ge You Lie!
Lying on the couch like this, many people like it!
Many people like to lie on the couch like this, lie down and fall asleep.
You don't think that for some people, such a lie may cause problems.
Today, I met such a person who had a problem lying down in the spine surgery ward of our hospital!
She is a housewife, 44 years old, and when she rests, she likes Ge You to lie on the couch.
Before this hospitalization, she just felt that her neck was often stiff, often painful, and sometimes felt pain in her right foot.
She also went to the hospital, the doctor told her that she had cervical spondylosis and lumbar disc herniation, and also gave the corresponding treatment, her right foot pain is better, but her neck will be repeatedly stiff and painful. Sometimes, it can be alleviated.
One morning more than twenty days ago, she got up very early, and after doing some housework, she felt a little tired, so she lay down and lay down on the sofa to rest.
Yes, she just lay there! Unexpectedly, she quickly fell asleep.
She didn't notice how long she had been asleep, and when she woke up, she didn't feel right!
She felt a pain in her neck and shoulders on either side, and this pain reached her upper arms on either side. Next, she felt that her right limb began to lose more and more strength, her right finger could not grasp anything, and her right and right feet would not move.
Of course, her left hand and foot can still move normally.
She thought she had had a stroke!
The family rushed her to the emergency department of our hospital.
The doctor gave her a physical examination and found that her chest and abdomen below the T8 plane decreased sensation, right finger muscle strength level 0, right wrist dorsal extensor muscle strength level 3, right upper extremity proximal muscle strength level 4, right finger and palm side skin sensory loss, left little finger, ring finger, middle finger sensory loss, right lower extremity distal muscle strength level 0, right limb pain allergy, right side of the baritonet sign positive, hyperreflexia of both knee tendons.
Doctors suspected there was something wrong with her cervical spine.
Checked her for magnetic resonance imaging of her cervical spine.
Sure enough, as shown above, her MRI found that her cervical 3-4, cervical 4-5, cervical 5-6, and cervical 6-7 discs protruded backwards. The physiological curvature of the cervical spine is straightened and there is bone hyperplasia. Cervical 4-5, cervical 5-6 levels of spinal stenosis, cervical 5-6 levels of cervical cord compression, degeneration.
That is, herniated discs and bone hyperplasia in her neck led to narrowing of the cervical spinal canal, which compressed into the spinal cord of the neck, and the appearance of spinal cord degeneration led to a series of symptoms of paralysis of the right limb.
To improve symptoms, of course, surgery is needed to relieve spinal stenosis and relieve the problem of compressing the spinal cord.
Fang Hongwei, director of spine surgery, operated on her.
In this operation, her bone spurs need to be ground off, the protruding intervertebral discs removed, and then fixed with the fusion of steel plates and titanium mesh bone grafts to restore the blood supply to the spinal cord.
This surgery is very difficult to do because she not only has multiple segments of the disc herniation, which is very compressive to the spinal cord, but also has multiple bone spur hyperplasias that are obvious and severely compress the spinal cord.
Because the protruding discs and hyperplastic bone spurs have been embedded in the spinal cord, the spinal cord may be damaged when these discs are removed and the bone spurs are worn off.
The bone spurs in his cervical spine are hard and hard to grind off.
We know that the spinal cord is delicate and that a little injury can lead to irreversible paraplegia consequences.
Fortunately, Director Fang's team is excellent, the problems are solved one by one, and the operation is successfully completed.
CT sagittal tablets after surgery
After the operation, the strength and sensation of her right limb slowly recovered.
The female patient was very happy! (Photo is licensed)
Two weeks after the operation, her right thumb muscle strength has been restored to level 3, the remaining finger muscle strength has been restored to level 3+, the right wrist dorsal extensor muscle strength has been restored to level 4, the right upper extremity proximal muscle strength is 4, the right finger fingertip skin sensation is reduced, the right upper extremity is hyperalgesic, the right lower extremity proximal muscle strength is 4+, the right ankle muscle strength is 3+, and the right foot toe muscle strength is 3+.
If nothing else, she should be able to return to her normal life.
Why did Ge You lie on the couch for a while, which would lead to the consequences of her hemiplegia?
The posture of "Ge You lying down" is that the upper body is paralyzed on the sofa, looking like lying directly, but the waist is suspended.
In such a posture, the waist and neck muscles of the human body are in a relaxed state, no longer tense, which will make people feel comfortable and relaxed.
However, it is precisely because the muscles are in a relaxed state, the spine has to bear the pressure, the cervical spine will maintain a preflexion position, if Ge You lies for a long time, the cervical spine will be damaged, and the cervical disc may protrude.
Children's physical function is better, the intervertebral disc elasticity is good, and there is no problem in lying down.
However, after the age of 35, people reach middle age, the peripheral tissues of the cervical spine and the intervertebral discs will have partial degeneration, and the elasticity of the intervertebral discs is not so good, on this basis, if Ge You lies for a long time, it is easy to cause the neck and waist intervertebral discs to protrude.
This female patient has long liked Ge Youliang.
Before the onset of this disease, there was already cervical disc herniation and bone hyperplasia, and spinal stenosis had reached a critical state of compression to the spinal cord.
That morning, she lay on the couch for hours, causing her cervical disc to protrude some more acutely, which may have been the last straw that crushed her spinal cord.
Another reason is that when people sleep, the neck muscles are relaxed. In this case, the protective effect of the muscles on the cervical spine is lost.
That morning, when she was lying down on the couch, because there was no muscle protection for the cervical spine, the external force directly acted on the spinal cord through the intervertebral disc and bone spurs, directly stimulating the spinal cord, resulting in damage to the spinal cord.
That is to say, this female patient, if there is no Ge You lying this time, if she goes to neck massage, then she may also have hemiplegia. At this time, tuina is also an external force.
Giving massage to patients with this type of cervical disc herniation is very risky, and if you are not careful, you will cause the patient to be paralyzed.
The spine surgery department of our hospital has encountered neck pain many times and went to the massage parlor outside to massage, which eventually led to paraplegia and came to the hospital for surgery.
From this patient's experience, we can know that Ge You lie down, really bad for the cervical and lumbar spine.
If we want to lie down, don't sit high, lie down completely, don't lie down!
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