Early diagnosis and treatment of spinal disease in elderly patients is preferable to delay

  Older people in their sixties and seventies, especially those over eighty years old, are saying, “Alas, people are getting old, can’t live many years, legs and feet are not handy, can’t walk, just walk less, this life just get over it.” Many elderly people early only mild lumbar pain and leg numbness, do not care, chronic pain aggravated, walking a few minutes can not stand, need to sit down to rest, in then even to go to the toilet is a problem, when the pain is aggravated, bedridden, more lack of courage for treatment, especially when you hear people around you say, so old, do surgery risky ah, not good will be paralyzed ah, etc., more afraid to go to the hospital to see a doctor In fact, this concept has led many elderly people, including their children, into a misunderstanding, which not only delays the treatment, misses the best time for treatment intervention, but also increases the risk of surgery.  This is the case of 81-year-old Master Lai, chronic back and leg pain for more than 30 years, the symptoms have gradually worsened, repeated acupuncture and physiotherapy and other conservative treatment is ineffective, Master Lai has been unable to resolve for fear of surgery, walking from 500 meters shortened to 100 meters, 50 meters, 10 meters, and finally go to the toilet are difficult, this year only wheelchair, and finally simply can not get out of bed, sleep are awake in pain, the condition has seriously affected his The condition has seriously affected his daily life and sleep quality, half a year C more than 10 pounds. A month ago, Uncle Zhao next door from the Guangdong Provincial Hospital Zhuhai Hospital spine surgery recovery home, see Uncle Zhao walking freely, all relaxed, and before it is simply like two people, tormented by pain really can not still suffer, Master Li finally gathered the courage to find for Uncle Zhao, the main surgery Chen Maoshui, deputy chief physician, Chen director listened carefully to Master Li’s medical history and a careful examination, a comprehensive assessment of his He diagnosed him with degenerative scoliosis combined with lumbar spinal stenosis. Although Master Li is of advanced age and the spinal orthopedic surgery itself is very risky, he has lost his chance for conservative treatment because of the severe spinal canal stenosis and scoliosis of the torso, and if the preoperative preparation is adequate and there is close cooperation with the anesthesiology department, ICU and other departments, there is still hope for Master Li’s recovery. After thorough preoperative preparations, Master Li was put on the operating table, and the surgery was completed by Director Li Yong and Deputy Chief Physician Chen Maoshui, and the surgery went very smoothly. Master Lai was sent to the ICU ward for monitoring, and returned to the ward safely after 1 day, and was able to walk on his own after a week. Every time he checked in, Master Li gave a thumbs up and thanked the hospital for fulfilling his wish of “not wanting to live such a painful life, even if it’s only worth living for half a year”. “This is the oldest case of orthopedic spine surgery in our hospital,” said Chen Maoshui, deputy chief physician.  According to Dr. Li Yong, chief physician of the spine department of Zhuhai Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, there are more and more elderly and senior patients coming to the spine department of the hospital, and the proportion of minimally invasive or open spine surgery for patients over 80 years of age has exceeded 10% each year, and the specialty follows the principle of conservative treatment without surgery and minimally invasive treatment without opening because of the many medical comorbidities and high surgical risks. However, it is deeply saddening that many patients are afraid of surgery and delay it again and again, missing the opportunity for minimally invasive surgery or even no surgery, and the end result increases the risk of surgery.