Document Detail


Five-year outcomes of surgical treatment for degenerative lumbar spinal stenosis: a prospective observational study of symptom severity at standard intervals after surgery.
MedLine Citation:
PMID:  16741459     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A prospective observational study of patients undergoing surgery for degenerative lumbar spinal stenosis. OBJECTIVE: To determine whether the long-term outcomes differ as a function of age and gender. SUMMARY OF BACKGROUND DATA: The long-term results of surgery for lumbar spinal stenosis are not well understood, and the patient characteristics that predispose patients to worse outcomes are unknown. METHODS: Seventy patients who underwent decompressive laminotomy with or without arthrodesis for degenerative lumbar spinal stenosis were prospectively studied at standard intervals after surgery with respect to symptom severity rated on a visual analog scale (VAS). RESULTS: The VAS scores for younger patients improved steadily for 3 or 6 months, after which the improvement was maintained until 60 months. The VAS scores for older patients showed a similar time course until 36 months, after which the VAS scores were worse compared with those for younger patients. The VAS scores for females were worse than those for males, in three symptoms queried, at one or more of the evaluation time points. CONCLUSION: In patients undergoing surgery for degenerative lumbar spinal stenosis, older age predicts a greater risk of late recurrence of symptoms, and women have higher VAS scores than men after surgery.
Authors:
Kazuo Yamashita; Kenji Ohzono; Kazuo Hiroshima
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  31     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-02     Completed Date:  2006-07-05     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1484-90     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan. yamakazu@onh.go.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aging
Decompression, Surgical*
Female
Follow-Up Studies
Humans
Laminectomy*
Logistic Models
Lumbar Vertebrae / surgery*
Male
Middle Aged
Pain / physiopathology*
Pain Measurement
Prospective Studies
Severity of Illness Index
Sex Characteristics
Spinal Fusion*
Spinal Stenosis / physiopathology*,  surgery*
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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