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Rehabilitation Practice and Science

Translated Title

老年下背痛患者腰椎電腦斷層攝影之研究

Abstract

Low back pain is the most common clinical complaint next to upper respiratory tract infection in aged people. Previous episodes of low back pain in young adults predispose to exacerbation and chronic problems in the elderly. This study was carried out on 478 cases aged above 65 who took computerized tomography of lumbar spine at Taichung Veterans General Hospital from Sep. 1988 to Sep. 1990. These cases consisted of 391 males and 81 females. According to the final statistics, the most prominent changes in lumbar spine were degeneration disc 941 segments and facets joint spurs 203 segments, followed by vertebral body spurs compressing intervertebral neuro-foramen or spinal canal 52 segments, and with herniation disc compression 85 segments.Analysis of the total numbers from the degeneration discs and the facet joint spurs disclosed that the two above degeneration signs were positively correlated. (p＜0.05) In this study, intervertebral neuroforamen compression was found to be on the Rt side in 80 segments (42.3%) on the Lt side in 91 segments (48.1%), and on bilateral sides in the 18 segments (9.6%) which made a total of 189 segments. The most common site was segment V (L5-S1) 80 cases (42.3%). In this series most of the low back pain of geriatrics originated from the degeneration discs and facet joint spurs, the so-called bony spur (vertebral body spur) just plays a minimal rote in the pathogenesis of low back pain in the elderly. We conclude that all the staff of rehabilitation (including the doctors and therapists) must fully understand the pathogenesis of low back pain and prescribe a complete program of treatment, including hot packing, lumbar traction, manipulation. posture guide dir ADL training all contribute to the relief of intradiscal pressure and lead to the remission of low back pain in the geriatrics.

Language

Traditional Chinese

First Page

89

Last Page

96

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