Epidemiology of spinal fractures among the elderly in Chongqing, China

Injury ◽  
2012 ◽  
Vol 43 (12) ◽  
pp. 2109-2116 ◽  
Author(s):  
Hongwei Wang ◽  
Changqing Li ◽  
Qiang Xiang ◽  
Hongyan Xiong ◽  
Yue Zhou
Keyword(s):  
Spinal Fractures ◽  
The Elderly

scholarly journals Research of the Clinical Effect of Kyphoplasty in the Treatment of Multiple Senile Osteoporotic Spinal Fractures

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Tianhui Liu ◽  
Jianmin Cui
Keyword(s):  
Clinical Effect ◽  
Spinal Fractures ◽  
The Elderly ◽  
Effective Rate ◽  
Clinical Indicators ◽  
Medical Institutions ◽  
Osteoporotic Vertebral Fractures ◽  
Study Evaluation ◽  
Before And After ◽  
Osteoporotic Spinal Fractures

Objective: To evaluate the clinical effect of kyphoplasty in the treatment of multiple osteoporotic vertebral fractures in the elderly. Methods: The duration of the study was selected from January 2018 to December 2020, and 38 patients with multiple osteoporotic spinal fractures were selected for study evaluation. All patients were treated with kyphoplasty. The clinical indicators of the two groups were compared and analyzed. Results: The total effective rate was 94.7% and the complication rate was 5.3%. The height of midline, anterior and posterior vertebral body, Cobb angle, VAS score, ODI score and ADL score of 38 patients before and after treatment were compared, which were significantly better than those before treatment (P<0.05). Conclusion: The clinical effect of kyphoplasty in the treatment of elderly patients with multiple osteoporosis is significant, which can be promoted in all levels of medical institutions.

P87 Spinal fractures incurred by a fall from standing height

2019 ◽  
Vol 90 (3) ◽  
pp. e44.3-e45
Author(s):  
S Hall ◽  
M Myers ◽  
A Sadek ◽  
M Baxter ◽  
C Dare ◽  
...  
Keyword(s):  
Fragility Fractures ◽  
Spinal Fractures ◽  
The Elderly ◽  
Research Network ◽  
Retrospective Case ◽  
Standing Height ◽  
Morbidity Score ◽  
Co Morbidity ◽  
Cord Injury ◽  
Complete Spinal Cord Injury

ObjectivesFalls from standing are an important cause of vertebral fractures, particularly in the elderly. They are associated with significant morbidity and long-term mortality. The aim of this study was to determine the treatment and outcomes, in a single centre, of managing spinal fractures due to falls from standing height.DesignRetrospective case note review of patients with a fracture sustained due to a fall from standing (2011–2016 inclusive).Subjects229 patients with average age 76.6±14.5 years; 134 (58.5%) female.MethodsPatients were identified from the Trauma Audit and Research Network database. Case notes were reviewed for demographics, treatment details and outcome at 6 months post-admission.Results1408 patients were admitted with spinal fractures of which 229 (16.3%) sustained a fall from standing height. Two hundred and eighty-three fractures were identified in the 229 patients, which were distributed in the cervical (n=140), thoracic (n=65) and lumbar (n=78) spine. The average ISS score was 9.7±5.4. Twenty-three (10.0%) patients had either incomplete or complete spinal cord injury. Fifty-six (24.5%) patients underwent surgical intervention. Forty-three patients (18.7%) died within 6 months and increasing age and Charlson co-morbidity score were associated with higher mortality.ConclusionsFalls from standing comprise a large portion of the spinal service emergency workload. They are associated with a high 6 month mortality similar to other fragility fractures experienced by the elderly.

scholarly journals Focus on spinal fractures in the elderly

2013 ◽  
Vol 39 (5) ◽  
pp. 443-444
Author(s):  
H. Laurer ◽  
I. Marzi
Keyword(s):  
Spinal Fractures ◽  
The Elderly

Gender differences in the clinical characteristics of traumatic spinal fractures among the elderly

2014 ◽  
Vol 59 (3) ◽  
pp. 657-664 ◽  
Author(s):  
Hongwei Wang ◽  
Liangbi Xiang ◽  
Jun Liu ◽  
Yue Zhou ◽  
Lan Ou
Keyword(s):  
Gender Differences ◽  
Clinical Characteristics ◽  
Spinal Fractures ◽  
The Elderly

Uptrend of cervical and sacral fractures underlie increase in spinal fractures in the elderly, 2003–2017: analysis of a state-wide population database

2020 ◽  
Vol 29 (10) ◽  
pp. 2543-2549
Author(s):  
Ronen Blecher ◽  
Emre Yilmaz ◽  
Basem Ishak ◽  
Alexander von Glinski ◽  
Marc Moisi ◽  
...  
Keyword(s):  
Spinal Fractures ◽  
The Elderly ◽  
Population Database ◽  
Sacral Fractures ◽  
Wide Population

scholarly journals Thoracolumbar spinal fractures associated with ground level falls in the elderly: An analysis of 254,486 emergency department visits

2020 ◽  
Vol 11 (5) ◽  
pp. 916-920
Author(s):  
Zachary J. Grabel ◽  
Matthew P. Lunati ◽  
Dale N. Segal ◽  
Nathan R. Kukowski ◽  
S. Tim Yoon ◽  
...  
Keyword(s):  
Emergency Department ◽  
Spinal Fractures ◽  
Ground Level ◽  
The Elderly ◽  
Emergency Department Visits

Cell surface changes during aging of human bladder epithelium examined by lectin probes and SEM

1990 ◽  
Vol 48 (3) ◽  
pp. 966-967
Author(s):  
J. Jacob ◽  
M.F.M. Ismail
Keyword(s):  
The Elderly ◽  
Ultrastructural Changes ◽  
Pokeweed Mitogen ◽  
Asymmetric Structure ◽  
Luminal Surface ◽  
Bladder Epithelium ◽  
Aldehyde Groups ◽  
Cell Surface Changes ◽  
Phosphate Buffered Saline ◽  
Surface Changes

Ultrastructural changes have been shown to occur in the urinary bladder epithelium (urothelium) during the life span of humans. With increasing age, the luminal surface becomes more flexible and develops simple microvilli-like processes. Furthermore, the specialised asymmetric structure of the luminal plasma membrane is relatively more prominent in the young than in the elderly. The nature of the changes at the luminal surface is now explored by lectin-mediated adsorption visualised by scanning electron microscopy (SEM).Samples of young adult (21-31 y old) and elderly (58-82 y old) urothelia were fixed in buffered 2% glutaraldehyde for 10 m and washed with phosphate buffered saline (PBS) containing Ca++ and Mg++ at room temperature. They were incubated overnight at 4°C in 0.1 M ammonium chloride in PBS to block any remaining aldehyde groups. The samples were then allowed to stand in PBS at 37°C for 2 h before incubation at 37°C for 30 m with lectins. The lectins used were concanavalin A (Con A), wheat germ agglutinin (WGA), phytohaemagglutinin (PHA) and pokeweed mitogen (PWM) at a concentration of 500 mg/ml in PBS at pH 7.A.

The effect of dental geriatric curricula on attitudes toward the elderly

1988 ◽  
Vol 52 (9) ◽  
pp. 516-518 ◽  
Author(s):  
J Mann ◽  
TJ Bomberg ◽  
JM Holtzman ◽  
DB Berkey
Keyword(s):  
The Elderly

Pharmacology Issues Related to Dementia Syndrome of Depression in Elderly Residents of Long-Term Care Settings

2015 ◽  
Vol 25 (2) ◽  
pp. 61-69
Author(s):  
Angel L. Ball ◽  
Adina S. Gray
Keyword(s):  
Depressive Symptoms ◽  
The Elderly ◽  
Environmental Communication ◽  
Pharmacological Intervention ◽  
Team Approach ◽  
Discussion Paper ◽  
Term Care ◽  
Anticholinergic Medications ◽  
Inappropriate Treatment ◽  
Dementia Syndrome

Pharmacological intervention for depressive symptoms in institutionalized elderly is higher than the population average. Among the patients on such medications are those with a puzzling mix of symptoms, diagnosed as “dementia syndrome of depression,” formerly termed “pseudodementia”. Cognitive-communicative changes, potentially due to medications, complicate the diagnosis even further. This discussion paper reviews the history of the terminology of “pseudodementia,” and examines the pharmacology given as treatment for depressive symptoms in the elderly population that can affect cognition and communication. Clinicians can reduce the risk of misdiagnosis or inappropriate treatment by having an awareness of potential side effects, including decreased attention, memory, and reasoning capacities, particularly due to some anticholinergic medications. A team approach to care should include a cohesive effort directed at caution against over-medication, informed management of polypharmacology, enhancement of environmental/communication supports and quality of life, and recognizing the typical nature of some depressive signs in elderly institutionalized individuals.

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