Posterior Lumbar Interbody Fusion Outcomes in Degenerative Lumbar Disease: Comparison of Results between Patients Over 70 and 50-65 Years of Age
Journal of Korean Society of Spine Surgery
;
: 217-222, 2011.
Artigo
em Coreano
| WPRIM
| ID: wpr-191365
ABSTRACT
STUDY DESIGN:
A retrospective study.OBJECTIVES:
This study analyzed the clinical and radiographic results of the posterior lumbar interbody fusion performed on patients 50-65 and >7-years-of-age suffering from degenerative lumbar disease. LITERATURE REVIEWSUMMARY:
Several studies on posterior lumbar interbody fusion performed on patients aged about 65 years reported insignificant age-related differences in the spinal-fusion results. MATERIALS ANDMETHODS:
The records of 121 patients with degenerative lumbar disease treated with posterior lumbar interbody fusion between 2004 and 2010 were assessed. The patients' clinical results, visual analogue scale (VAS) scores, Oswestry disability index (ODI) values, and complications before and after the surgery were compared. The radiographic results and changes in the fusion segmental angle before and after the surgery as well as in the height of the posterior intervertebral disc were also compared.RESULTS:
In group A, comprising 44 patients >70-years-of-age, follow-up duration and number of comorbidities were 73.3 years and 17.8 months, respectively. In group B, comprising 77 patients 50-65-years-of-age, follow-up duration and number of comorbidities were 58.8 years and 31.8 months, respectively. In both groups, the average VAS scores and ODI values decreased. The incidence rate of vertebra-related postoperative complications was 13.6% in group A and 9.0% in group B. The incidence rate of general complications unrelated to the vertebra, was 18.1% in group A and 9.0% in group B.CONCLUSIONS:
Posterior lumbar interbody fusion is considered effective even in patients over 70 years with a degenerative lumbar disease.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Coluna Vertebral
/
Estresse Psicológico
/
Comorbidade
/
Incidência
/
Estudos Retrospectivos
/
Seguimentos
/
Disco Intervertebral
Tipo de estudo:
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Idoso
/
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Society of Spine Surgery
Ano de publicação:
2011
Tipo de documento:
Artigo
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