Back pain in the elderly: updated diagnosis and management.


Journal Article

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 weighted 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.

Full Text

Cited Authors

  • Gandy, S; Payne, R

Published Date

  • December 1986

Published In

Volume / Issue

  • 41 / 12

Start / End Page

  • 59 - 74

PubMed ID

  • 2946627

Pubmed Central ID

  • 2946627

International Standard Serial Number (ISSN)

  • 0016-867X


  • eng

Conference Location

  • United States