Document Detail


Efficacy and safety of surgery for lumbar disc herniation in patients aged 80 and older.
MedLine Citation:
PMID:  21534198     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIM: To evaluate the efficacy and safety of surgery for lumbar disc herniation in patients aged 80 or older. MATERIAL and
METHODS: Operative time (OT), intraoperative estimated blood loss (EBL), length of hospital stay (LOS), and complication rate (CR) were used to assess safety of surgery. The Visual Analog Scale (VAS), the Oswestry disability index (ODI) and the North American Spine Society Outcome Questionnaire (NASS-Q) were used to evaluate the clinical effectiveness.
RESULTS: There were significant differences between the very elderly and the middle-aged group in LOS (P < 0.001), but not in OT, EBL and CR (all P > 0.05). The preoperative, post-operative and final follow up VAS and ODI scores were not significantly different between the two groups (each P > 0.05). However, the VAS and ODI scores were significantly improved after surgery and at ultimate follow up compared with those before surgery (all P < 0.001). Satisfaction with outcome was expressed by 39 (86.7%) of 45 very elderly patients.
CONCLUSION: Conventional laminectomy, discectomy and/or spinal fusion surgery is a feasible, safe and effective treatment in patients over age 80 with lumbar disc herniation compared with middle-aged patients.
Authors:
Hai Nie; Dianming Jiang; Yunsheng Ou; Zhengxue Quan; Chunhong Bai; Hong An
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Turkish neurosurgery     Volume:  21     ISSN:  1019-5149     ISO Abbreviation:  Turk Neurosurg     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9423821     Medline TA:  Turk Neurosurg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  172-6     Citation Subset:  IM    
Affiliation:
The First Affiliated Hospital, Chongqing Medical University, Department of Spine Surgery, Chongqing, China.
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