Document Detail

Surgical results of degenerative spondylolisthesis patients over 70 years old: a single-center experience and clinical outcomes.
MedLine Citation:
PMID:  23015328     Owner:  NLM     Status:  MEDLINE    
AIM: The aim of this study is to evaluate results of surgery in Degenerative Spondylolisthesis (DS) patients over 70 years old.
MATERIAL AND METHODS: This is a non-randomized retrospective analysis of the clinical outcome of 34 patients older than 70 years who underwent surgery. At the end of two-year follow-up period, preoperative and postoperative courses were assessed by Oswestry Disability Index (ODI) and Visual Analog Scales (VAS).
RESULTS: The mean age was 75 years (range 70-86 years). The mean duration of symptoms was 13.5 years (range 2-30 years). All patients underwent physiotherapy and also 15 (11 female, 4 male) patients used brace. L4-L5 was the most commonly affected level (n=26), Preoperative ODI and VAS scores were mean 71,63 (range 34-100) and 6,77 (range 2-9) (p < 0,05). Postoperative ODI and VAS scores were mean 22,73 (range 0-100) and 2,13 (range 0-10) (p < 0,05). Patients were asked if they had known the outcome, would they accept surgical treatment or not. 86.6% (n=26) of the patients answered the question positively.
CONCLUSION: A conventional decompressive laminectomy with foraminotomy and posterolateral fusion in situ with transpedicular instrumentation is necessary and reduces pain and recovers functional disability in elderly patients over 70 years old with DS.
Cem Atabey; Selcuk Gocmen; Hakan Simsek; Emre Zorlu; Mehmet Nusret Demircan; Ahmet Colak; Cem Dinc
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Turkish neurosurgery     Volume:  22     ISSN:  1019-5149     ISO Abbreviation:  Turk Neurosurg     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-27     Completed Date:  2013-03-01     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  9423821     Medline TA:  Turk Neurosurg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  534-9     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Decompression, Surgical
Disability Evaluation
Exercise Therapy
Follow-Up Studies
Neurosurgical Procedures / methods*
Pain Measurement
Pain, Postoperative / epidemiology,  rehabilitation
Physical Therapy Modalities
Postoperative Complications / epidemiology
Retrospective Studies
Spinal Fusion / methods
Spondylolisthesis / pathology,  rehabilitation,  surgery*
Treatment Outcome

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

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