成年人脊柱形手术在八十多岁的结果 - 什么年龄太老了?
So Kato1, Yuki Taniguchi2, Naohiro Kawamura3
1Department of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan. sokato@g.ecc.u-tokyo.ac.jp.
概括
接受成人脊柱形 (ASD) 手术的老年患者 (≥80岁) 获得与年轻成年人相比的结果. 仔细的患者选择对于优化这个不断增长的患者群体的结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 老年人手术是一门老年手术.
背景情况:
- 成年脊柱形 (ASD) 手术越来越多地在老年人群中进行.
- 关于ASD手术在超老年患者 (≥80岁) 的安全性和有效性的数据有限.
研究的目的:
- 在超老年患者 (≥80岁) 与老年患者 (65-79岁) 和中年患者 (50-64岁) 进行后脊髓融合治疗ASD的安全性和有效性比较.
主要方法:
- 对151名接受ASD后部融合治疗的患者进行了回顾性多中心研究 (2017-2023年).
- 患者分为三个年龄组:超级老年人 (≥80岁),老年人 (65-79岁) 和中年人 (50-64岁).
- 人口统计数据,手术参数,放射性结果,患者报告的结果,满意度,30天并发症和近端结节衰竭 (PJF) 的比较.
主要成果:
- 超级老年患者的ASA分数和骨质疏松率较高,但手术程度和持续时间相似. 在超级老年人群中,血液损失较低.
- 在老年人群中,手术前变形更大,但手术后的结果,满意度和短期并发症率在所有年龄组中都相似.
- 随着年龄的增长,PJF的发病率增加了 (36%对29%对12%),但超级老年人身份并不是PJF的独立预测因素.
结论:
- 80岁以上的ASD患者可以获得与年轻患者相比的功能和放射性结果.
- 精心选择患者和手术前咨询对于在超级老年人群中成功进行ASD手术至关重要.
相关概念视频
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