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骨质疏松症的外科治疗
骨质疏松的consequencesKYPHOSIS驼背DECREASEDPULMONARYCAPACITY肺活量减少REFLUXESOPHAGITIS返流性食管炎Backpain腰背痛
Osteoporosis:
ATickingTimeBombNormalspongiousboneOsteoporoticspongiousbone
Osteoporosischaracter：reducedbonemassandapropensitytofracture.
DistalRadiusBackgroundVerycommonfractureintheelderlyResultfromlowenergyinjuriesIncidenceincreaseswithage,particularlyinwomenAssociatedwithdementia,pooreyesightandadecreaseincoordination
DistalRadiusEpidemiologyIncreasinginincidenceEspeciallyinwomenPeakincidenceinfemales60-70Lifetimeriskis15%Mostfrequentcause:fallonoutstretchedarmDecreasedbonemineraldensityisafactor
DistalRadiusTreatment:OperativeifacceptablereductionnotobtainedregionalorgeneralanesthesiaMethodsORIFClosedreductionandpercutaneouspinningwithexternalfixationBonegraftingfordorsalcomminution
DistalRadiusTreatmentResultsarevariableanddependonfracturetypeandreductionachievedMinimallydisplacedandfracturesinwhichastablereductionhasbeenachievedresultingoodfunctionaloutcomes
VertebralFracturesNevittMCetal.Bone.1999;25:613–619.CooperCetal.JBoneMinRes.1992;7:221–227.Themostcommonlocationsarethemidthoracicregion(T7–T8)andthethoracolumbarjunction(T12–L1)1CorrespondtothemostmechanicallycompromisedregionsofthespineMidthoracicregion–thoracickyphosisismostpronouncedandloadingduringflexionisheightened
DetectionofVertebralFractureOftenasymptomaticPainrangesfrommildtosevereandchronic,butmaydisappearoverseveralweeksBecauseofthecomplexetiologyofbackpain,osteoporoticfracturesmaynotbesuspectedorconsidered,eveninthepresenceofseverebackpainnotattributabletoanyothercause
Fracture–Oldvs.New
VertebralfracturesareoftennotdiagnosedTheheightlossassociatedwithvertebralfractureisgradualRadiographicassessmentscanbeinconsistentsincethereisoftennocleardefinition
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