老年性胸腰椎骨折的治疗现状  

Present Treatment of the Thoracic and Lumbar Spinal Fractures in the Elderly Population

作　　者：杜志山[1] 王兵[1] 

机构地区：[1]昆明医学院第一附属医院骨科,昆明650032

出　　处：《医学综述》2011年第4期562-565,共4页Medical Recapitulate

摘　　要：随着社会的老龄化,老年人胸腰椎骨折对其健康造成很大的威胁,其发病率逐年上升。全世界每年大约新增140万例椎体骨折患者。老年患者由于椎体骨质疏松,且合并多种内科疾患,因此无论是否伴有神经损伤,老年性胸腰椎骨折的处理都较为棘手。目前临床上常用的治疗方法有保守治疗、开放手术和椎体成形术等。选择合理有效的治疗方式,对提高老年患者的生活质量及生活自理能力有重要意义,但目前在治疗手段的适应证、疗效等方面仍存在争议。With the development of aged society,thoracic and lumbar spinal fractures in the elderly population is terribly threatening the health of human,whose incidence has the tendency of heightening year after year with an estimated 1.4 million new fractures occurring all over the world every year.Whether or not accompanied with a nerve injury,addressing thoracolumbar fractures in the elderly population encountered more difficulties because of the most elderly population not only with the osteoporosis,but also with various medical disorders.Current clinical treatment methods includes conservative treatment,open surgery and vertebroplasty,etc.Chooseing a reasonable and effective treatment is extremely important for improving the life quality and self-care independence of the eldly patients,but the indications and efficacy of the treatment methods is still in dispute.

关 键 词：老年人 胸腰椎 骨折 治疗 

分 类 号：R683.12[医药卫生—骨科学]