发展中国家老年患者的脊柱状况

Abdulrahman Al-Mirza, Omar Al-Taei, T. Al-Saadi
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摘要

背景:老年脊髓损伤患者的死亡率较高,危及生命的并发症发生率增加,特别是脊髓损伤。本研究的目的是研究阿曼马斯喀特Khoula医院神经外科的老年脊柱神经外科疾病的患病率。结果:171例患者因脊柱病变入院,这将是本研究的主要重点,平均年龄70.7岁。男女比例为(1.5:1)。退行性疾病是最常见的脊柱诊断(90.6%),其次是创伤性事故(2.9%)。多数患者接受手术治疗(78.9%)。绝大多数患者(91.2%)住院时间小于15天。75岁以上和75岁以下患者的年龄、性别、住院时间和干预方式的差异有统计学意义(p=0.003)。结论:由于世界范围内老年人的数量随着寿命的延长而增加,脊髓相关病理是全球范围内死亡率和发病率日益增加的原因。在本研究中,退行性疾病是最常见的脊柱诊断,其次是创伤性事故。
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Spinal conditions in geriatric patients in developing countries
Background: The spinal injury in an elderly patient is associated with higher mortality and an increased frequency of life-threatening complications and specifically spinal cord injuries. The aim of this study is to study the prevalence of geriatric spinal neurosurgical conditions in the Neurosurgical Department at Khoula Hospital, Muscat, Sultanate of Oman. Results: 171 patients were admitted due to spinal pathologies, which will be the main focus of the present study with an average age of 70.7 years. The male-to-female ratio was (1.5:1). Degenerative conditions were the most common spinal diagnosis (90.6%) followed by traumatic accidents (2.9%). Most of the patients underwent surgical intervention (78.9%). The majority of the patients (91.2%) of the patients stayed in the hospital for less than 15 days. There was a significant difference between the age of patients above and below 75 years the gender (p=0.003) and between the length of stay and type of intervention (P<0.005). Conclusion: Spinal cord-related pathologies are a growing cause of mortality and morbidity worldwide, because of the increasing number of elderly people due to an increasingly rising life span worldwide. In the present study, degenerative conditions were the most common spinal diagnosis followed by traumatic accidents.
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