內容目錄
scoliosis
In your impression
Is it relevant to teens
We often see cases of scoliosis in adolescents
Actually older people
is the high-risk group of scoliosis
As China’s aging society becomes more and more prominent
There is also an increasing number of patients with potential geriatric degenerative spinal deformities
The scientific name is “senile degenerative spinal deformity”
Can have a huge impact on the lives of older adults
It may even greatly increase the probability of falls in the elderly
Life-threatening
Expert Alert
Be vigilant early!
65-year-old village doctor “bent”
Uncle Li (pseudonym) of Jinhua, 65 years old, worked in a township health center before retiring. He is a well-known “enthusiastic village doctor” and is often busy “seeking and seeing a doctor” for the villagers “During the journey, it is no problem to walk more than 20 miles of mountain roads at one time. About six or seven years ago, Uncle Li began to feel that he couldn’t bear to walk a long way, and he had unexplained back pain and leg numbness, but it was relieved after rest, and it did not affect his life significantly, so Uncle Li didn’t pay attention to it.
In the past two years, Uncle Li’s condition has gradually become more serious. Starting from April 2021, Uncle Li found that his body was bent to the right again. “Especially when walking, people will fall to the right involuntarily, walk unsteadily, and have severe back pain and leg pain, and even sleep and turn over will hurt. It’s time to cook.”
Uncle Li came to the local hospital in Jinhua. After examination, he the L4/5 segment of the spine (about the position of the waist) was significantly deformed, causing the spine to curve to the right. , while compressing the nerves, causing him back pain, numbness of the lower limbs, and weakness in walking. Considering that Uncle Li is 65 years old, the local hospital suggested conservative treatment first. But half a year later, Uncle Li’s symptoms have not eased, and even going up and down the stairs at home has become very difficult for him.
“You can’t go on like this, you can’t live at all!” Uncle Li’s son lives in Hangzhou, so he suggested that he go to a large hospital in Hangzhou to have a look.
Uncle Li came to the expert clinic of Chief Physician Yu Liedao of the Department of Orthopedics of the First Affiliated Hospital of Zhejiang University School of Medicine after being recommended by a friend who is also a doctor. After further detailed examination of Uncle Li, Chief Physician Yu Liedao found that Uncle Li’s scoliosis was already grade 4 (clinically, scoliosis can be divided into grades 1 to 6, and grade 4 is already moderate to severe), conservative. Treatment is difficult to work and can only be corrected with surgery.
Uncle Li before surgery
Not long ago, Chief Physician Yu Liedao performed scoliosis correction surgery for Uncle Li. A small incision of about 6 cm was made in the abdomen to perform surgery on the deformed spine. Orthopedics, then fixation, less blood loss, and two days after surgery, Uncle Li can get out of bed and move around.
After Uncle Li’s surgery
615% of people over 0 years of age
“Elderly scoliosis, or senile degenerative spinal deformity, is mainly because people are old and prone to osteoporosis and degenerative diseases of the bones. On the basis of spinal degenerative diseases, and due to disc herniation, joint degeneration, muscle and ligament degeneration, etc., the overall spine instability and misalignment, bending strong>.” said Chief Physician Yu Liedao.
To use an analogy, it is like a brand-new sturdy pillar, which can still stand even after being affected by external forces or having a small hole on the pillar; but if it is long-term In the wind and rain, the pillars are corroded and weathered, and may encounter any external force, which will easily bend and deform or even collapse.
“Elderly degenerative spinal deformities mainly occur in the lumbar and thoracic spine, of which the lumbar spine is the main one. Osteoporosis, long-term fatigue history, long-term improper posture, trauma, etc. The main reason is , and there are also congenital causes, such as adolescent idiopathic scoliosis that is aggravated by early untreated. The main manifestations of senile degenerative spinal deformity are scoliosis, kyphosis, rotational dislocation, etc. The kyphosis is what we people often call hunchback, which is the most typical manifestation.” said Chief Physician Yu Liedao.
According to the study, the mean age at the onset of degenerative scoliosis was 62.1 years, with an incidence of 6% in 45-59 years and 15% over 60 years, there are more women than men, and people with osteoporosis have a higher probability of scoliosis. At the same time, with the development of an aging society, the incidence of this disease is increasing year by year.
For patients with mild symptoms, no intractable low back pain, pain, numbness and weakness in both lower extremities, and unbalanced walking, and the quality of life is not seriously affected, conservative treatment can be considered, including proper rest, anti-inflammatory drugs Pain relief, brace protection, and long-term normative anti-osteoporosis.
For those who have intractable low back pain, pain, numbness and weakness in both lower limbs, and unbalanced walking in the middle and late stages, and the quality of life is significantly affected, surgery can only be used. However, patients like Uncle Li who are still in time for treatment can solve the symptoms through “minimally invasive” methods such as hole mirror and minimally invasive decompression fusion. If the disease progresses to an advanced stage, they have to undergo relatively traumatic osteotomy and orthopedic surgery .
Is it normal to have a hunchback in old age?
Early intervention should be required!
Humpback is actually one of the most typical manifestations of senile degenerative spinal deformities. It’s normal for people to have a hunchback when they get old! Do you think so too?
Actually, with the advancement of medical technology and the continuous improvement of people’s living standards, hunchbacks are no longer “for granted”.
“With the advent of an aging society, we encounter more and more patients with senile degenerative spinal deformities in outpatient clinics, but most of them have endured for more than three or four years. Even more than ten years, and if early intervention, it can not only limit the progression of the disease, but also ensure the quality of life.” said Chief Physician Yu Liedao.
Because this degeneration develops slowly, the initial symptoms are not obvious, the common ones include low back pain, numbness, pain and weakness in both lower extremities, soreness and discomfort in both lower extremities after walking for a period of time, walking distance gradually decrease, etc. However, at this time, patients often do not pay attention, and the disease will continue to develop. In the later stage, not only serious appearance deformities will appear, which will seriously affect the quality of life of patients, but also easily lead to falls in the elderly, resulting in hip fractures that are life-threatening , may also compress the nerves, spinal cord, causing paralysis.
Experts recommend that If people over the age of 50 have problems such as persistent waist and leg pain, they should seek medical screening, bone density testing, and early intervention. And young people should also pay more attention to the elderly. If elders often complain of waist and leg pain and unable to walk, especially if they have abnormal postures such as walking “staggered, leaning forward and backward”, they should go to the hospital as soon as possible, Early prevention and early treatment should be done to prevent the deformity from progressing to the point where “surgery” is needed in the late stage.
At the same time, experts emphasized that for the elderly, moxibustion and other methods should be used cautiously to relieve waist and leg pain, and outpatients often receive elderly patients with skin ulcers caused by moxibustion treatment.
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