Non-surgical orthopaedic therapies of the spine in the elderly.

Journal: La Revue Du Praticien

Non-surgical orthopaedic therapies of the spine in the elderly. Non-surgical orthopaedic therapies of the spine in the elderly Aging is responsible for several spine pathologies characterized by static disorders. These are degenerative scoliosis (SD), degenerative lumbar kyphosis (CDL), narrow lumbar canal, fracturing osteoporosis with vertebral settlements, complications of spine surgery, degenerative spondylolisthesis, Camptocormia and drooping head. SD is an onset (de novo) or late worsening scoliosis, the critical period being most often menopause. CLD is a non-reducible lumbar kyphosis caused by degenerative disc and posterior joint lesions. Camptocormia is a very disabling thoracolombary kyphosis of at least 30° degrees worthening with walking which is largely reductible. There are different causes: neuromuscular disease or central neurologic disease (extrapyramidal), metabolic, medicamentous but also at a late age the possible evolution of an SD and CLD. The consequences of these pathologies are pain, walking difficulties, aesthetic damage and sometimes in case of camptocormia of digestive and respiratory disorders. Treatments are physiotherapy with postural, muscular and proprioceptive work, radio- guided infiltrations by radiologists experienced in deviations of the spine after an accurate analysis of the cause of pain allowing targeted infiltration and plastic or fabric corsets custom-made in close collaboration between doctor and orthoprosthetist. The purpose of corsets is to improve pain, the static of the spine and to slow down the evolution.

Catherine Marty-Poumarat, obert Carlier

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