Department of Surgery, St. Mareinhospital Vechta, Vechta, Germany.
Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
J Orthop Surg Res. 2022 Aug 12;17(1):382. doi: 10.1186/s13018-022-03279-y.
In this letter to the editor, we discuss the article by Bigdon et al., published recently in the Journal of Orthopaedic Surgery and Research, about their accurate single-centre cohort study of 8000 vertebral fractures in 4772 patients. As the complication rate of this cohort is low, it seems that severe trauma patients needing damage control resuscitation/procedures may have undergone damage control in the first treating hospital before being transferred to the trauma centre. It will be interesting to see how both activity and health trends within the ageing population will change osteoporotic occurrence of fractures and enable more conservative trends versus operative stabilization to continue an active life even in the seventh or eighth decade.
在这封给编辑的信中，我们讨论了 Bigdon 等人最近在《骨科手术与研究杂志》上发表的文章，该文章是关于他们对 4772 名患者的 8000 例椎体骨折进行的准确的单中心队列研究。由于该队列的并发症发生率较低，因此似乎需要损伤控制复苏/程序的严重创伤患者可能在被转移到创伤中心之前，在第一家治疗医院已经接受了损伤控制。有趣的是，随着老龄化人口的活动和健康趋势的变化，骨质疏松性骨折的发生率将会如何变化，以及即使在第七或第八个十年，通过更保守的治疗趋势而非手术稳定来继续积极的生活方式。
