摘要
我国已经步入老龄化社会,随着经济的发展,社会的进步,人们生活水平的提高,越来越多的中、老年人群任然活跃在工作岗位上,与年轻人一样面临的较多的创伤风险,同时大多数高年龄的人群,由于骨质疏松而造成的病理性的脊柱骨折越来越成为一种较为常见的疾病,并且大多中、老年患者多伴有其他的慢性疾患而且各器官系统出现生理老化现象,因此这些患者病情的评估、治疗和转归对我们临床骨科医生提出更高的要求和更多的挑战,随着影像学和生物力学的发展,手术技巧和器械的改进及治疗理念的不断更新,腰椎骨折的治疗日新月异,除早已成熟的后路、前路、前后联合等术式,近年来又出现的后路短节段固定结合椎体成形术及适用于老年人病理性骨折的椎体成形术等微创手术,微创手术在多方面越来越受到人们的关注,笔者针对中、老年患者的腰椎骨折治疗的研究现状做出简单的综述。
China has already been an aging nation, following the development of economy and the progress of society and the improvement of the standard of living of people, more and more aging people always working their occupations who facing traumatic risk as same as young people, most of elder patients who with other chronic diseases and physiological aging phenomenon of every organ system,so the assessment and treatment and outcome of patients put forward higher requirements and more challenges to our clinical orthopedic surgerns,with the development of imaging and biomeehanics, surgical techniques, equipment improvement and treatment concept are continuous renewal. The treatments of lumbar fractures are also improved constantly. Besides anterior approach, posterior operation and antecervical and retrocervical combination,in recent years, some minimally invasive surgery have appeared such as the vertebroplasty by short-segment posterior stabilization, the vertebroplasty that is fit for the elderly etc. Minimally invasive surgery are being concerned by more and more people. So the author wrotten reviews about status quo of research of treatment of mild-life and geriatrics, lumbar fractures.
出处
《中国骨质疏松杂志》
CAS
CSCD
2010年第7期542-546,共5页
Chinese Journal of Osteoporosis
关键词
中
老年
腰椎骨折
前路
后路
前后联合
椎体成形术
微创
Mild-life and geriatric
Lumbar fractures
Anterior approach
Posterior operation
Antecervical and retrocervical combination
Vertebroplasty
Minimally invasive surgery
