老年脊柱骨折 - 人口统计,变化趋势,挑战和特殊考虑:叙述性综述
Aditya Sunder1, H S Chhabra1, Aayush Aryal1
1Indian Spinal Injuries Centre, New Delhi, 110070, India.
Journal of clinical orthopaedics and trauma
|August 4, 2023
概括
老年脊柱损伤正在增加,在老年人诊断和治疗方面存在独特的挑战. 由于老年患者的并发症率较高和生物力学不同,特别考虑至关重要.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 脊柱损伤流行病学 脊柱损伤流行病学
背景情况:
- 脊柱损伤不成比例地影响着老年人群.
- 在老年人群中,脊椎骨折的患病率很大,从18%到51%不等.
- 患脊柱损伤的老年人比例正在增加.
研究的目的:
- 总结老年患者脊柱损伤的人口统计和发展趋势.
- 确定和讨论在老年人中管理脊髓损伤的具体挑战和考虑因素.
主要方法:
- 在PubMed,Scopus和Embase数据库中进行全面的文献搜索.
- 使用的MeSH术语包括"老年"",80岁及以上"",老年人"",脊柱骨折/流行病学"和"脊柱骨折/治疗".
- 选和审查通过搜索发现的相关文章.
主要成果:
- 老年人脊椎骨折的社区患病率很高.
- 老年患者占脊髓损伤病例的百分比越来越大.
- 在老年人中,脊柱损伤更有可能被错过,现有的临床指南可能不适合.
- 由于骨质疏松老年人脊椎的生物机械特征,分类和手术治疗有所不同.
- 在手术和保守管理组中观察到高发病率的呼吸道并发症.
- 晚年与增加的并发症率相关,包括死亡率.
结论:
- 老年脊柱损伤需要特殊的方法,与年轻人的方法不同.
- 脊椎衰老的独特生物力学特性和更高的并发症风险需要量身定制的护理策略.
- 需要进一步的研究和指导方针的调整,以优化脊髓损伤的老年患者的治疗结果.
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