2.3. Study Treatment
medication-induced dyspepsia, Pain, pain
The practitioner of core decompression in this trial was an experienced orthopedic surgeon (S.M.P., with a 10-year experience in orthopedic surgery). Patients in the core decompression group were placed in a prone position. The fractured vertebrae were identified and marked under C-arm guidance. Under local anesthesia, a Jamshidi needle was used to perforate the fractured vertebrae. The needle was carefully inserted through the skin and soft tissues layer-by-layer with continuous monitoring through the pedicle using C-arm guidance. The core wire was extracted from the needle and a syringe was connected to the needle. Subsequently, the plunger of the syringe was gradually withdrawn, resulting in the evacuation of blood and intraosseous decompression. Subsequently, the needle was removed and an aseptic dressing was applied to the puncture site.In the conservative treatment group, the patients received a regimen that included bed rest, oral pain medication, use of external braces, and ambulation based on their pain tolerance.In both groups, pain management followed a stepladder approach starting with non-narcotics, low-dose narcotics, and high-dose narcotics. Pain treatment was categorized following the World Health Organization analgesic ladder as 0 (no prescription), 1 (non-narcotic analgesics, acetaminophen, NSAIDs), 2 (low-dose narcotics), and 3 (high-dose narcotics). Esomeprazole, a proton pump inhibitor, was used for medication-induced dyspepsia.