在接受手术的八十岁人群中,与II型牙骨折相关的发病率和死亡率:一项追溯研究,随访5年
Pavlina Lenga1, Gelo Gülec1, Karl Kiening1
1Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Frontiers in medicine
|October 16, 2023
概括
在八十岁人群中,对II型牙骨折的后方螺丝固定具有很高的并发症和死亡率. 然而,在这个脆弱的人群中,可以考虑进行手术,并仔细评估骨结合和神经系统保存的风险和益处.
科学领域:
- 整形外科手术 整形外科手术
- 老年创伤的治疗方法
- 脊柱外科手术 脊柱外科手术
背景情况:
- 在老年人群中,创伤的患病率正在上升.
- 对老年人II型牙骨折的最佳治疗仍然存在争议.
- 由于伴随疾病和脆弱性,八代人会面临独特的挑战.
研究的目的:
- 评估患有II型牙骨折的八十岁人群的发病率和死亡率,这些人经历C1/C2后方螺丝固定.
- 描述术前和术后的并发症.
- 为了确定这种患者群体中死亡的风险因素.
主要方法:
- 从2005年9月到2020年12月的电子医疗记录的回顾性审查.
- 包括60名年龄≥80岁的患有II型牙骨折的患者.
- 收集有关人口统计,并发症,手术细节,并发症和90天死亡率的数据.
主要成果:
- 平均年龄为85.0岁;平均查尔森并发症指数 (CCI) 为8.5,表明基线储备不足.
- 住院死亡率为5.0%,90天死亡率为10.0%.
- 同病症和术后并发症被确定为死亡率的独特风险因素. 所有病例都实现了正确的螺丝放置,脊柱对齐和没有修复手术的融合.
结论:
- 八十岁人群中牙骨折的并发症和死亡率显著.
- 尽管并发症率很高,但建议80岁以上的患者考虑进行手术.
- 仔细评估治疗方法对于管理这些脆弱的患者至关重要,旨在促进骨结合和神经系统的保存.
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