老年人的胸脊椎骨架 - 一个叙事文献综述
Surabhi Varma1, Kevin Tsang1, George Peck1
1Major Trauma Center, St. Mary's hospital, Imperial College Healthcare NHS Trust, Praed Street, London W2 1NY, U.K.
Injury
|August 14, 2023
概括
患有胸椎骨折的老年人经常面临由于适合性和耐受性不佳而面临保守支架的挑战. 本综述检查了该人群中脊柱骨架的证据,以指导临床实践和研究.
科学领域:
- 整形外科 整形外科 整形外科
- 老年医学 老年医学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 胸骨折呈现双模分布,老年人中患有由低能耗机制造成的脊椎骨折的人数增加.
- 用脊柱支架进行保守的治疗是稳定的胸骨折常见的,而没有神经学上的妥协.
- 老年患者的胸罩经常导致耐受性差,设备不合适,以及不遵守,导致长时间的固定.
研究的目的:
- 审查和分析现有证据,以使用脊柱骨架 (支架) 在老年患者的胸脊骨折.
- 确定当前证据缺乏或质量不佳的领域.
- 为老年人合理使用脊柱骨架提供建议,并建议未来的研究方向.
主要方法:
- 这项研究是对当前文献的描述性综述.
- 它综合了系统审查,元分析和其他相关研究的发现.
- 重点是关于脊柱骨架的证据,特别是老年患者队列中的证据.
主要成果:
- 系统性审查和元分析质疑胸脊骨折支架的疗效.
- 关于老年人支架的证据质量通常很低,这限制了探索性分析的范围.
- 支架适合,患者耐受性和合规性方面的挑战是老年人群中的重要问题.
结论:
- 目前,对于患有胸脊骨折的老年患者脊柱骨架的证据基础有限,通常质量不佳.
- 需要进一步的研究来澄清脊柱支架在这个人口群体中的作用和优化脊柱支架的使用.
- 临床实践应考虑患者特定的因素,并酌情探索传统支架的替代方案.
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