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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 285 - 293 (9page)
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초록· 키워드
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Study Design: Case-control study. Purpose: In this study, we aimed to investigate clinical outcomes and morphological features in elderly patients with lumbar spinal stenosis (LSS) who were treated by minimally invasive surgery (MIS) unilateral laminectomy for bilateral decompression (ULBD) using a tubular retractor. Overview of Literature: Numerous methods using imaging have been attempted to describe the severity of spinal stenosis. But the relationship between clinical symptoms and radiological features remains debatable. Objective: In this study, we aimed to investigate clinical outcomes and morphological features in elderly patients with LSS who were treated by MIS-ULBD Methods: We methodically assessed 85 consecutive patients aged >65 years who were treated for LSS. The patients were retrospectively analyzed in two age groups: 66–75 years (group 1) and >75 years (group 2). Clinical outcomes were assessed using the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and the modified MacNab criteria. Outcome parameters were compared between the groups at the 1-year follow-up. Core radiologic parameters for central and lateral stenosis were analyzed and clinical findings of the groups were compared. Results: At the 1-year follow-up, patients in both groups 1 and 2 demonstrated significant improvement in their VAS and ODI scores. All clinical outcomes, except postoperative ODI, were not significantly difference between the groups. In addition, no significant difference was noted in the preoperative radiological parameters between the groups. There was no statistically significant correlation between radiological parameters and clinical symptoms or their outcomes. Moreover, no differences were noted in perioperative adverse events and in the need for repeat surgery at follow-ups between the groups. Conclusions: MIS-ULBD by tubular approach is a safe and effective treatment option for elderly patients with LSS. Clinical outcomes in patients with LSS and aged >75 years were comparable with those in patients with LSS and aged 66–75 years. Moreover, we did not find any correlation between radiological parameters and clinical outcomes in either of the two patient groups.
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참고문헌 (30)
참고문헌 신청
Fehlings MG / 2015 / The aging of the global population: the changing epidemiology of disease and spinal disorders / Neurosurgery 77(Suppl 4):S1~S5
Kovacs FM / 2011 / Surgery versus conservative treatment for symptomatic lumbar spinal stenosis: a systematic review of randomized controlled trials / Spine (Phila Pa 1976) 36:E1335~E1351
Forsth P / 2016 / A randomized, controlled trial of fusion surgery for lumbar spinal stenosis / N Engl J Med 374:1413~1423
Deyo RA / 1992 / Morbidity and mortality in association with operations on the lumbar spine: the influence of age, diagnosis, and procedure / J Bone Joint Surg Am 74:536~543
Shamji MF / 2015 / Minimally invasive spinal surgery in the elderly: does it make sense? / Neurosurgery 77(Suppl 4):S108~S115
Kovacs FM / 2011 / Surgery versus conservative treatment for symptomatic lumbar spinal stenosis: a systematic review of randomized controlled trials / Spine (Phila Pa 1976) 36:E1335~E1351
Forsth P / 2016 / A randomized, controlled trial of fusion surgery for lumbar spinal stenosis / N Engl J Med 374:1413~1423
Deyo RA / 1992 / Morbidity and mortality in association with operations on the lumbar spine: the influence of age, diagnosis, and procedure / J Bone Joint Surg Am 74:536~543
Shamji MF / 2015 / Minimally invasive spinal surgery in the elderly: does it make sense? / Neurosurgery 77(Suppl 4):S108~S115
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