Bandilla K K
J Am Geriatr Soc. 1977 Feb;25(2):62-6. doi: 10.1111/j.1532-5415.1977.tb00231.x.
Back pain is one of the chief complaints of the elderly. It may be either a chronic deep skeletal muscular pain or an acute circumscribed pain arising from nerve-root irritation. The main causes of back pain in older people are: 1) degenerative changes (spondylosis, osteoarthritis, ankylosing hyperostosis); 2) malignancy (multiple myeloma, metastases from carcinoma or lymphoma); and 3) metabolic disorders (osteoporosis, osteomalacia, chondrocalcinosis, Paget's disease). Mechanisms and variations are discussed in detail.
背痛是老年人的主要主诉之一。它可能是慢性深部骨骼肌肉疼痛，也可能是由神经根刺激引起的急性局限性疼痛。老年人背痛的主要原因有：1）退行性改变（脊椎病、骨关节炎、强直性骨质增生）；2）恶性肿瘤（多发性骨髓瘤、癌或淋巴瘤转移）；3）代谢紊乱（骨质疏松症、骨软化症、软骨钙质沉着症、佩吉特病）。文中将详细讨论其机制及变异情况。
