Surgical Outcome of Degenerative Lumbar Spinal Stenosis in Patients over 70 years old: A Comparative Analysis according to Surgical Method / 대한척추외과학회지
Journal of Korean Society of Spine Surgery
; : 101-105, 2005.
Article
en Ko
| WPRIM
| ID: wpr-113274
Biblioteca responsable:
WPRO
ABSTRACT
STUDY DESIGN: A retrospective study. OBJECTIVES: To analyze and compare the clinical results of different surgical methods for spinal stenosis, without lumbar instability, in patients over 70 years-old. SUMMARY OF LITERATURE REVIEW: Much controversy exists as to the best operative method for spinal stenosis. MATERIALS AND METHODS: Thirty eight patients that had undergone surgical treatment for spinal stenosis, without lumbar spinal instability, with a mean age of 75.1 years(70 to 91 years) and follow up period was 44 months(24 to 52 months), were retrospectively reviewed. The patients were divided into two groups: * Group A (n=23): posterior decompression alone * Group B (n=15): posterior decompression and posterolateral fusion Clinical outcome and satisfaction were assessed using Bohlman's measurements, on a 10 point pain rating scale, and the clinical outcomes were further analyzed according to the co-morbidity and postoperative complications. RESULTS: Clinically excellent and good outcomes were achieved in 86.9 and 80.0% in groups A and B, respectively. The 10-points pain scale for low back pain showed improvements in both groups. The co-morbidity did not influence the clinical outcome in either group. There were no serious postoperative complications in either group. CONCLUSIONS: Posterior decompression alone was an effective surgical method, and was found to be equivalent to posterior decompression and posterolateral fusion in patients over 70 years-old with degenerative lumbar spinal stenosis and without lumbar spinal instability.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Complicaciones Posoperatorias
/
Estenosis Espinal
/
Estudios Retrospectivos
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Estudios de Seguimiento
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Dolor de la Región Lumbar
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Descompresión
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Aged
/
Humans
Idioma:
Ko
Revista:
Journal of Korean Society of Spine Surgery
Año:
2005
Tipo del documento:
Article