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在老年人中创伤性胸脊椎骨折的结果:系统性审查

J van Tiel¹, T Tan^2,3, J Tee^2,3

¹Department of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.

|March 21, 2024

概括

缺乏治疗胸脊椎骨折的老年患者的指导方针. 早期动员是减少并发症和改善这一脆弱人群的结果的关键.

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:

65岁以上的老年患者患有创伤性胸脊椎骨折,缺乏具体的治疗指南.
在神经学上完整的患者对最佳管理提出了独特的挑战.

研究的目的:

系统地审查有关老年患者胸脊椎创伤保守治疗与手术治疗结果的文献.
确定当前的证据缺口,并为未来的研究方向提供信息.

主要方法:

按照PRISMA指南进行系统的文献审查.
在2021年6月之前搜索的主要数据库 (PubMed,科学网,EMBASE,Cochrane).
评估了偏差风险和审查了临床,放射和并发症数据.

主要成果:

包括6项研究 (1个RCT,2个前性,3个回顾性队列).
关于疼痛,放射性结果和两种治疗策略的并发症,报告了相互矛盾的结果.
没有确立保守或外科治疗的明显优势.

结论:

早期动员对于患有胸脊骨折的老年患者至关重要,以减少并发症和住院时间.
焦点应该转向患者特定的治疗,而不是一种普遍的保守与外科手术的方法.
需要进一步的研究来确定最佳的,个性化的治疗方案.

关键词:

老年患者 (>65岁) 的情况.脊髓创伤是因为脊髓损伤.胸脊椎胸脊椎脊柱脊柱脊柱创伤性脊椎骨折是造成的治疗方法治疗方法

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