Open AccessDEGENERATIVE DYSTROPHIC DISEASES OF THE LUMBAR SPINE AND THEIR SURGERY IN ELDERLY AND SENILE PATIENTS
Author(s) -
Aleksandr Evgenyevich Simonovich,
Дмитрий Михайлович Козлов
Publication year - 2006
Publication title -
hirurgiâ pozvonočnika
Language(s) - English
Resource type - Journals
eISSN - 2313-1497
pISSN - 1810-8997
DOI - 10.14531/ss2006.3.52-58
Subject(s) - medicine , decompression , surgery , senile osteoporosis , lumbar , oswestry disability index , degenerative disease , osteoporosis , low back pain , central nervous system disease , alternative medicine , pathology
Objective. Comparative assessment of decompression and decompression-stabilization techniques for degenerative diseases of the lumbar spine in elderly and senile patients. Material and Methods. A total of 106 patients at the age of 60 to 83 years (mean age 65.7 years) operated on for degenerative disease of the lumbar spine were included in the prospective study. The outcomes were evaluated in 3–4 and 12–24 months. A dynamics of neurologic state, intensity of pain according to VAS, and functional activity according to Oswestry scores were evaluated. Results. Good results were achieved in 70 % of cases after decompression – stabilization surgery, as compared to 46 % after decompression only. There were 26 % of unsatisfactory results of treatment after decompression, and 5 % – after decompression and stabilization. Surgical complications were typical for these kinds of surgical interventions. There were no infectious and systemic complications as well as metal implant induced complications such as its destruction, migration or subsidence, and bone resorption around implant. Conclusion. Decompression and stabilization surgery is the most reasonable and effective technique for treatment of lumbar degenerative diseases in elderly and senile patients. Preference should be given to posterior approach surgery concluded by stabilization of operated vertebral segments.