Cloyd Jordan M, Acosta Frank L, Ames Christopher P
Department of Neurological Surgery, University of California at San Francisco, San Francisco, California 94143, USA.
J Am Geriatr Soc. 2008 Jul;56(7):1318-27. doi: 10.1111/j.1532-5415.2008.01771.x. Epub 2008 May 22.
As the number of elderly persons in the United States continues to increase, there will be an associated increase in age-related diseases, such as degenerative conditions of the lumbar spine. Elderly patients frequently present to their geriatrician or primary care provider with low back and leg pain. Spine surgery is one of several options the geriatric patient may consider for symptomatic relief, but the literature describing the safety and efficacy of spine surgery in older patients is inconclusive and at times confusing. The purpose of this article is to describe common degenerative conditions of the lumbar spine and to review the complications and outcomes of spine surgery in elderly patients, with particular attention to how they compare with those of younger patients. A better understanding of the risks and prognosis associated with these types of surgeries will enable more-informed decision-making by patients and physicians.
随着美国老年人数量持续增加，与年龄相关的疾病，如腰椎退行性病变，也会相应增加。老年患者经常因腰腿痛就诊于老年病科医生或初级保健医生处。脊柱手术是老年患者为缓解症状可能考虑的几种选择之一，但描述脊柱手术在老年患者中的安全性和有效性的文献尚无定论，有时还令人困惑。本文旨在描述腰椎常见的退行性病变，并回顾老年患者脊柱手术的并发症和结局，尤其关注其与年轻患者的比较情况。更好地了解这类手术相关的风险和预后，将有助于患者和医生做出更明智的决策。
