在老年人群中进行脊柱手术. 它真的不同吗?
Sachin R Goudihalli1, Harmandeep S Brar1, Mandar Patil1
1Department of Neurosurgery, Fortis Hospital, Mohali, Punjab, India.
Neurology India
|May 1, 2024
概括
60岁以上的患者脊柱退行性疾病的外科治疗结果与年轻人相比,当选择适当的程序时,这些患者的外科治疗结果与年轻人相比. 术前评估对于成功的老年脊柱手术至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 老年医学 老年医学
背景情况:
- 脊椎退行性疾病对老年人产生重大影响,由于年龄和并发症,往往导致保守的管理.
- 早期的手术干预可以在健康的老年患者中获得更好的结果,而不是长期的保守护理.
研究的目的:
- 评估老年患者 (60岁以上) 的功能结果,这些患者因脊椎退行性疾病而接受手术.
- 为了比较老年和非老年人队伍之间的手术结果.
主要方法:
- 对2014年至2016年间进行的脊柱退行性疾病手术的回顾性研究.
- 患者分为老年人 (>60岁) 和非老年人队列.
- 包括脊柱减压和/或仪器程序;在随访期间评估的功能结果.
主要成果:
- 分析了139例脊髓退行性疾病,其中65例为老年和74例为非老年患者.
- 程序包括腰椎融合 (48),非仪器腰部减压 (67),宫手术 (24).
- 结果评估了功能改善和脊柱残疾,使用SPSS 20进行统计分析.
结论:
- 老年患者的脊柱问题手术干预产生了令人满意的结果,类似于一般人群.
- 根据明确的指示选择适当的外科手术程序是成功的关键.
- 彻底的手术前评估,包括表现状况和并发症,对于优化老年患者的治疗结果至关重要.
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