Bederman S Samuel, Le Vu H, Pahlavan Sohrab
From the Texas Back Institute, Plano, TX (Dr. Bederman), the NewportCare Orthopaedic & Spine Center, Newport Beach, CA (Dr. Le), and the Department of Orthopaedic Surgery, University of California, Irvine, Orange, CA (Dr. Pahlavan).
J Am Acad Orthop Surg. 2016 Jul;24(7):433-42. doi: 10.5435/JAAOS-D-14-00181.
Along with the increase in lifestyle expectations in the aging population, a dramatic rise in surgical rates has been observed over the past 2 decades. Consequently, the rate of revision spine surgery is expected to increase. A systematic approach to treatment is required for the adult patient presenting with late or chronic complications after spinal surgery. Patient assessment includes elucidating current symptoms and knowledge of the previous surgery, performing a detailed assessment, and obtaining appropriate studies. Subsequently, differential diagnoses are formulated based on whether the pathology arises from the same levels or adjacent levels of the spine and whether it relates to the previous decompression or fusion. Finally, familiarity with different surgical approaches is imperative in treating the common pathologies encountered in this patient population.
随着老年人口生活方式期望的提高，在过去20年里手术率显著上升。因此，脊柱翻修手术率预计会增加。对于脊柱手术后出现晚期或慢性并发症的成年患者，需要采用系统的治疗方法。患者评估包括阐明当前症状和对既往手术的了解、进行详细评估以及获得适当的检查结果。随后，根据病变是源于脊柱的同一节段还是相邻节段，以及是否与既往减压或融合有关来制定鉴别诊断。最后，熟悉不同的手术方法对于治疗该患者群体中常见的病变至关重要。
