Back pain in the elderly: Updated diagnosis and management Journal Article


Authors: Gandy, S.; Payne, R.
Article Title: Back pain in the elderly: Updated diagnosis and management
Abstract: CT of compression fractures is a useful adjunct to the plain x-ray in excluding signs of metastasis. However, increased bone density on CT may not distinguish osteoporotic fractures from neoplastic disease, in which case radioiodine scan, bone and marrow biopsies, or myelography may be necessary. Surgery for painful osteoarthritic spinal disease is controversial. The potential advantages of surgery must be weighed against the risk of anesthesia, the length and tolerance of postoperative immobility, and the effect of laminectomy and fusion on the biomechanics of the spine. Furthermore, the elderly are at increased risk for postoperative complications.
Keywords: aged; unclassified drug; review; drug efficacy; metastasis; pain; estrogens; tomography, x-ray computed; dexamethasone; age; backache; diagnosis; spinal neoplasms; bone; surgery; osteoarthritis; osteoporosis; morphine; drug therapy; hydromorphone; management; therapy; injury; intravenous drug administration; levorphanol; oral drug administration; drug indication; etiology; musculoskeletal system; spine disease; compression fracture; calcium carbonate; back pain; ergocalciferol; human; female; priority journal; dilandid; spondylarthritis
Journal Title: Geriatrics
Volume: 41
Issue: 12
ISSN: 0016-867X
Publisher: Advanstar Communications  
Date Published: 1986-12-01
Start Page: 59
End Page: 62, 67-74
Language: English
PUBMED: 2946627
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 18 August 2021 -- Source: Scopus
Citation Impact
MSK Authors
  1. Richard Payne
    68 Payne