Jones Luke D, Pandit Hemant, Lavy Christopher
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford University, Nuffield Orthopaedic Centre, Windmill Road, Oxford OX3 7LD, UK.
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford University, Nuffield Orthopaedic Centre, Windmill Road, Oxford OX3 7LD, UK.
Maturitas. 2014 Aug;78(4):258-62. doi: 10.1016/j.maturitas.2014.05.004. Epub 2014 May 13.
Low back pain is a common symptom in the older person. Whilst the majority of cases are thought to be mechanical or idiopathic and benign in nature, its multiple potential causes and concerns regarding missed diagnosis of less common but more serious underlying pathological diagnoses mean many physicians find the assessment, investigation and treatment of chronic low back pain in older adults challenging. This narrative review describes the classification of low back pain in older adults, discusses both mechanical and sinister causes of pain, highlights the appropriate use of medical imaging and provides an overview of surgical and non-surgical management of these patients.
下腰痛是老年人的常见症状。虽然大多数病例被认为是机械性或特发性的，本质上是良性的，但其多种潜在病因以及对罕见但更严重的潜在病理诊断漏诊的担忧，意味着许多医生发现对老年人慢性下腰痛的评估、检查和治疗具有挑战性。这篇叙述性综述描述了老年人下腰痛的分类，讨论了疼痛的机械性和严重性病因，强调了医学影像的合理使用，并概述了这些患者的手术和非手术治疗。
