Waheed Muhammad Abdul-Aziz, Hasan Sazid, Tan Lee A, Bosco Aju, Reinas Rui, Ter Wengel Paula Valerie, Hey Hwee Weng Dennis, Aleem Ilyas S
Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA.
J Spine Surg. 2020 Mar;6(1):340-350. doi: 10.21037/jss.2020.01.12.
Cervical spine pathology is becoming increasingly prevalent with an aging world population and is associated with significant morbidity, affecting all areas of the world. This review was undertaken to provide a global perspective on cervical spine pathology, including epidemiology, burden of disease, access to care, and plan of care in both developed and developing low- and middle-income countries (LMICs). We found that epidemiology, access to care, plan of care, and health outcomes were relatively similar between nations with similar economies. However, these aspects change dramatically when comparing developing nations to LMICs, with LMICs displaying substantial barriers to care and subsequently higher rates of morbidity and mortality. There is currently a need for large-scale, global, prospective multicenter studies that analyze not only the epidemiology and treatment of cervical spine pathology, but also consider patient outcomes.
随着全球人口老龄化，颈椎疾病日益普遍，且与严重的发病率相关，影响着世界各个地区。本综述旨在从全球视角探讨颈椎疾病，包括发达国家和发展中低收入国家（LMICs）的流行病学、疾病负担、医疗服务可及性以及治疗方案。我们发现，经济水平相似的国家在流行病学、医疗服务可及性、治疗方案和健康结果方面相对相似。然而，将发展中国家与LMICs进行比较时，这些方面会发生巨大变化，LMICs在医疗服务方面存在重大障碍，因此发病率和死亡率更高。目前需要开展大规模、全球性、前瞻性多中心研究，不仅要分析颈椎疾病的流行病学和治疗方法，还要考虑患者的治疗结果。
