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Dieter Grob It is the merit of the Bone and Joint in view of the generally reduced Decade to draw our attention with health situation of the involved - increased intensity to the problem of tients. The important role of the the changes related to aging of our biphosphonates in the treatment, and musculoskeletal system and the asso- perhaps even more so in the prev- ciated socioeconomic implications. tion, of osteoporosis is emphasized In view of the increasing age of the by Fleisch. worldwide population the impact Any successful surgical treatment seems to be tremendous. I congratu- starts with accurate diagnostic pro- late the editors of the present supple- dures. The profound knowledge and ment of the European Spine Journal sophisticated diagnostic techniques in picking up this interesting topic of the complex pathoanatomical and engaging opinion leaders to con- changes in the spine including the tribute their knowledge in this sup- involvement of the neural structures plement. The various contributions (contribution by Dvorak) often go cover some of the important prob- beyond the capacity of a spine s- lems, which are included in the vast geon. Teamwork and adequate c- specter of aging spine: osteoporosis, munication is mandatory.
Inhaltsverzeichnis
Editorial.- The aging of the population: a growing concern for spine care in the twenty-first century.- Review.- Natural history of the aging spine.- Overview of osteoporosis: pathophysiology and determinants of bone strength.- Biomechanics of the aging spine.- Recognizing and reporting osteoporotic vertebral fractures.- Principles of management of osteometabolic disorders affecting the aging spine.- Medical treatment of vertebral osteoporosis.- Bisphosphonates in osteoporosis.- The aging spine: new technologies and therapeutics for the osteoporotic spine.- Vertebroplasty for osteoporotic spine fracture: prevention and treatment.- Interdisciplinary approach to balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures.- Economic implication of osteoporotic spine disease: cost to society.- Lumbar spinal stenosis in the elderly: an overview.- The conservative surgical treatment of lumbar spinal stenosis in the elderly.- Cervical myelopathy: clinical and neurophysiological evaluation.- Anterior decompression for cervical spondylotic myelopathy.- Posterior approach to the degenerative cervical spine.- Spinal metastasis in the elderly.