Clinical Outcome in Lumbar Decompression Surgery for Spinal Canal Stenosis in the Aged Population

Abstract

3.

Predictors of improvement in quality of life and pain relief in lumbar spinal stenosis relative to patient age: a study based on the Spine Tango registry

“…Open decompression has become the most common surgical intervention for LSS in elderly patients [5]. If required, decompression may be combined with additional stabilization or fusion.…”

Risk factors for perioperative morbidity in spine surgeries of different complexities: a multivariate analysis of 1,009 consecutive patients

“…Furthermore, advanced age was found to be significantly associated with the postoperative occurrence of a complication as well as with an increased risk of an infection. [3] Nevertheless, despite the reported higher risk of morbidity and occurrence of complications, patients older than 80 years who underwent lumbar decompression surgery for degenerative lumbar spinal stenosis had a significant improvement in Spinal Stenosis Measure scores, the Feeling Thermometer, the Numeric Rating Scale, and the Roland and Morris Disability Questionnaire, as reported by Ulrich et al [19] With regard to the results of the present study, advanced patient age was significantly associated with all of the above mentioned primary outcomes in univariate analysis, however, binary logistic regression analysis only confirmed this observation for a blood loss of more than 500ml.…”

Large prospective validation and cultural adaptation of the Polish version of the Swiss Spinal Stenosis Questionnaire for patients with lumbar spinal stenosis

“…As a result, there will be a growing demand for valid and reliable outcome-based measures of walking [8]. The SSSQ has been recognized as a useful tool to measure the specific neuroischemic characteristics and adverse effects on walking capacity associated with degenerative spinal stenosis, and has been used in several recent studies [10,11,[25][26][27]. To the best of our knowledge, this study is the first to perform a large validation and cultural adaptation of the P-SSSQ for patients with LSS.…”