Back pain in the elderly: A review

被引:21
作者
Jones, Luke D. [1 ]
Pandit, Hemant [1 ]
Lavy, Christopher [1 ]
机构
[1] Univ Oxford, Nuffield Orthopaed Ctr, Nuffield Dept Orthopaed Rheumatol & Musculoskelet, Oxford OX3 7LD, England
关键词
Back pain; Red flags; Older people; LUMBAR DISC HERNIATION; CAUDA-EQUINA SYNDROME; SPINAL STENOSIS; OLDER-ADULTS; PRIMARY-CARE; MANAGEMENT; METAANALYSIS; SURGERY; SPONDYLOSIS; GUIDELINES;
D O I
10.1016/j.maturitas.2014.05.004
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Low back pain is a common symptom in the older person. Whilst the majority of cases are thought to be mechanical or idiopathic and benign in nature, its multiple potential causes and concerns regarding missed diagnosis of less common but more serious underlying pathological diagnoses mean many physicians find the assessment, investigation and treatment of chronic low back pain in older adults challenging. This narrative review describes the classification of low back pain in older adults, discusses both mechanical and sinister causes of pain, highlights the appropriate use of medical imaging and provides an overview of surgical and non-surgical management of these patients. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:258 / 262
页数:5
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