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相关概念视频

Bone Disorders01:29

Bone Disorders

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
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Vertebral Column: Regions and Curvature01:16

Vertebral Column: Regions and Curvature

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The vertebral column or spine is a flexible column that supports the head, neck, and body and  allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
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Muscles of the Vertebral Column01:27

Muscles of the Vertebral Column

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The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
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General Structure of a Vertebra01:30

General Structure of a Vertebra

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A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous...
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Articulations of the Vertebral Column01:28

Articulations of the Vertebral Column

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In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
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Bone Remodeling01:40

Bone Remodeling

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Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
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骨质疏松症和脊柱疾病

Ram Chaddha1,2, Gaurav Agrawal2, Shreel Koirala3

  • 1Head of Department, Orthopaedic Surgery, Lilavati Hospital and Research Centre, Mumbai, India.

Indian journal of orthopaedics
|December 18, 2023
PubMed
概括

骨质疏松症显著影响骨健康,增加脊柱骨折和并发症的风险,特别是在老年人中. 对于接受脊柱手术的骨质疏松患者来说,有效的治疗和手术策略至关重要.

关键词:
退行性阴影症 (Degenerative Kyphosis) 是一种退行性阴影症.退行性脊柱形脊椎病是一种退行性脊柱形脊椎病.退行性脊柱脊髓溶解脱落症.脆弱性骨折是一种脆弱性骨折.仪器化 仪器化 仪器化骨质疏松症是一种骨质疏松症.骨质疏松性脊椎骨折 骨质疏松性脊椎骨折 骨质疏松性脊椎骨折狭窄症 (英语:Stenosis) 是一种缩小症.脊椎压缩骨折是指脊椎的压缩骨折.

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科学领域:

  • 整形外科 整形外科 整形外科
  • 老年病的医生 老年病的医生
  • 代谢性骨疾病 代谢性骨疾病

背景情况:

  • 骨质疏松症是一种与年龄相关的代谢性骨病,影响骨健康和生活质量.
  • 它增加了脊椎骨折,脊柱形和神经并发症的风险,导致发病率和死亡率.
  • 越来越多的老年人群需要在脊椎手术前仔细评估和治疗骨质疏松症.

研究的目的:

  • 提供骨质疏松症在脊柱中的病理生理过程的概述.
  • 为管理骨质疏松相关病理的脊柱患者提供指导方针.
  • 概述骨质疏松患者脊柱手术的当前技术,策略和技术.

主要方法:

  • 来自PubMed和NIH共识开发会议的经常引用的文章的审查.
  • 包括世界卫生组织的建议.
  • 纳入作者临床经验和已建立的协议.

主要成果:

  • 从历史上看,骨质疏松症是脊柱手术的禁忌,导致更高的并发症率.
  • 更好地了解骨质疏松症的病理生理学和生物力学有助于管理.
  • 手术和麻醉技术的进步使得在高风险的骨质疏松患者中能够成功进行手术.

结论:

  • 在脊椎手术前,充分评估和治疗骨质疏松症至关重要.
  • 当前的理解和技术为接受脊柱手术的骨质疏松患者提供了更好的结果.
  • 这篇评论讨论了骨质疏松性脊柱的生物力学,诊断,管理和手术进展.