Prompt surgical management for spinal fracture in the elderly aged over 90 years with diffuse idiopathic skeletal hyperostosis to extend their healthy lifespan

2012 ◽  
Vol 22 (S1) ◽  
pp. 29-34 ◽  
Author(s):  
Shinji Tanishima ◽  
Chikako Takeda ◽  
Yuki Hamamoto ◽  
Yasumitsu Kondo ◽  
Hideki Nagashima
2010 ◽  
Vol 24 (5) ◽  
pp. 694.e5-694.e8 ◽  
Author(s):  
Chika Cho ◽  
Raphael Coscas ◽  
Fabien Koskas

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1793
Author(s):  
Emily J. Guerard ◽  
Gil E. Harmon ◽  
Kieran D. Sahasrabudhe ◽  
Noelle K. LoConte

This article summarizes the seminal publications from mid-2016 through 2017 in the area of medical care for older adults with cancer. Areas addressed include chemotherapy tolerance and efficacy in the aged, geriatric fitness assessments, and advancements in palliative and supportive care. The practice-changing finding from this past year’s publications is that antipsychotics should not be used in the management of terminal delirium in older adults receiving palliative care. The other trials demonstrated an improved understanding of the utility of geriatric assessments in patients with cancer, developed the body of information about which chemotherapy agents are safe and effective in older adults (and which are not), and expanded our understanding of good palliative and supportive care.


Orthopedics ◽  
2017 ◽  
Vol 40 (4) ◽  
pp. e641-e647 ◽  
Author(s):  
Eddie K. Hasty ◽  
Edward W. Jernigan ◽  
Adrianne Soo ◽  
Dax T. Varkey ◽  
Ganesh V. Kamath

2019 ◽  
Vol 12 (10) ◽  
pp. e223740
Author(s):  
Jojin Jose Chitten ◽  
Boblee James

Diffuse idiopathic skeletal hyperostosis (DISH) is a common degenerative enthesopathy seen in the elderly with male preponderance. It is uncommon in patients before 50 years of age and is extremely rare in patients younger than 40 years. We report a case of 33-year-old unmarried woman who presented with inflammatory spinal pain and stiffness, limited chest expansion, decreased range of spinal motion and postural abnormalities, all of which suggested the diagnosis of ankylosing spondylitis, considering the patient’s age. But, further evaluation led us to the final diagnosis of DISH with associated metabolic syndrome and polycystic ovarian syndrome (PCOS). To the best of our knowledge, our patient is the first reported case of DISH in a woman less than 40 years of age, and also the first case of DISH associated with PCOS and metabolic syndrome.


2020 ◽  
Vol 75 (2) ◽  
Author(s):  
Chiara Eberspacher ◽  
Domenico Mascagni ◽  
Pavlos Antypas ◽  
Gianmarco Grimaldi ◽  
Lisa Fralleone ◽  
...  

2019 ◽  
Vol 37 (2) ◽  
pp. 73-78
Author(s):  
Fraser Birse ◽  
Helen Williams ◽  
David Shipway ◽  
Edward Carlton

Trauma in the elderly (>65 years) is an increasingly common presentation to the ED. A fall from standing height is the most common mechanism after which such patients present, and rib fracture is the most common non-spinal fracture. Thoracic injury in patients aged over 65 is associated with significant morbidity and mortality. There are currently no universally applied guidelines for assessment, investigation and management of such patients. In this expert practice review, we discuss the evidence base and options for clinical management in this vulnerable patient group.


2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Michael A. Masteller ◽  
Aakash Chauhan ◽  
Harsha Musunuru ◽  
Mark M. Walsh ◽  
Bryan Boyer ◽  
...  

Both osteoporotic fractures and pleural effusions are frequently observed in medicine. However, rarely does one associate a hemorrhagic pleural effusion with a thoracic spinal fracture when the patient has not sustained massive trauma. In this paper, we discuss two cases where seemingly insignificant low-energy trauma precipitated massive haemothoraces in elderly patients with underlying osteoporosis, ultimately resulting in their immediate causes of death. This paper serves to remind health care professionals of the importance of using caution when moving elderly patients as well as to consider thoracic spinal fracture as a potential explanation for a hemorrhagic pleural effusion of undetermined etiology.


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