老年人颈髓损伤的临床特点及治疗选择

目的总结老年人颈髓损伤的发病和治疗特点。方法总结北京博爱医院2002年至2006年收治的1 738例脊髓损伤患者中60岁以上老年人颈髓损伤的病例资料,回顾性分析老年人颈髓损伤的发病和治疗特点。结果交通事故和跌倒损伤是最常见的致伤因素,均可造成颈椎过伸过屈性损伤,从而引起中央脊髓损伤综合征;早期手术和早期康复治疗使59例老年患者中有31例实现功能性步行,而且可有效预防脊髓损伤严重合并症的发生。结论老年人颈髓损伤的治疗重点是让病人早期离床活动,减少脊髓损伤卧床合并症的产生。早期手术结合早期康复的方法治疗老年人脊髓损伤,能显著降低脊髓损伤的严重合并症,提高患者的生活质量。

Clinical Characters and Treatment Choices of Cervical Spinal Injuries in the Elderly

Objective To summarize clinical characters and treatment methods of cervical spinal cord injuries in the elderly.Methods Fifty-nine elderly patients(age above 60 years old) with cervical spinal injury were retrospectively reviewed from the year of 2002 to 2006.Results Incidence rate of cervical spine injuries in the elderly was 8.2 % in our study.The most common type of injury was hyperextension injuries of cervical spine and cervical central cord syndrome.Traffic accident and falling injuries were the most...