老年骨质疏松性脊柱骨折的临床特点与治疗方法选择

摘要

To explore the clinical feature and treatment for osleoporotie vertebral fractures.rnMethods Clinical manifestations and imaging characteristics .if 62 patients wilh osleopomlic vertebralrncompression fractures were analyzed. Palienls were treated either wilh conservative therapy , or surgery , orrncombinative trealmenl according to different characteristics. Results The properties, location, extent of lowrnhack pain, and imaging characteristics of those 62 cases were different al different stages of the fracture. VAS was performed to all palienls lo evaluate the pain before Irealmenl, l-week after trealmenl, and 1-month follow-up. Complete relieve was achieved in 47 palienls, moderate relieve in 12 palienls, and no significant change in 3 cases. The mohility scoring showed that 47 palienls obtained 1 score and 15 palienls obtained 2 scores. Conclusion Osteoporolic vertebral fractures in the elderly is characterized with sequenlialrnfractures, multi-source pain, no obvious incentive, poor analgesic effect, and long lime for Irealmenl. Treatment methods should be selected based on the clinical features and different stages of fractures. Most palienls need combination therapy lo achieve the ideal effect.%目的 探讨老年骨质疏松性脊柱骨折的临床特点和治疗方法.方法 对62例老年骨质疏松性脊柱骨折的临床表现和影像学特点进行分析,并根据不同特点采用保守治疗、手术治疗和两者结合的综合治疗;结果 62例骨折患者腰背疼痛的性质、部位和程度及影像学特点在骨折的不同阶段表现不同,所有患者分别于治疗前、治疗后1周和1月随访时进行疼痛强度的视觉评分:47例完全缓解,12例中度缓解,3例较治疗前无明显改变;活动能力评分:本组治疗后1分47例,2分15例.结论 老年骨质疏松性脊柱骨折具有序贯性、疼痛多源性、诱因不明显、止痛效果差、治疗时间长等特点,应根据其临床特点和骨折的不同阶段,选择不同的治疗方法,大部分病人需综合治疗才能达到较为理想的效果.