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2013, Number 2

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Geroinfo 2013; 8 (2)

Tratamiento quirúrgico de la estenosis lumbar degenerativa en el adulto mayor

Tabares NH, Díaz QJ, Tabares SH, Tabares SL

Language: Spanish
References: 22
Page: 1-17
PDF size: 110.41 Kb.


ABSTRACT

Introduction: Degenerative lumbar stenosis in elderly patients is a serious health problem present, surgical treatment seems to be the best results but presents the question of whether all patients with this disease should be treated with the same technique. The purpose was to show the results of the surgical treatment of degenerative lumbar stenosis in patients over 65 years treated at the Center for Research on Longevity, Aging and Health between january 1, 2009 and january 1, 2011.
Methods: We performed a prospective study in patients older than 65 years diagnosed with degenerative lumbar stenosis. The variables studied were age, sex, symptoms, location, major comorbid conditions, and radiographic classification by MRI. The choice of surgical technique was used in relation to the anatomical area stenosed, we used the Oswestry index and Visual Analogue Scale of pain as evaluation instruments.
Results and Conclusions: The series was composed of 28 patients, there was a predominance of males with 67.6%, the location of two vertebral levels and cardiovascular comorbid conditions, the predominant symptom showed similar values between LBP, the irradiated and claudication. The Oswestry index and visual analog scale pain showed significant improvement in postoperative and obtained 89.2% of good results. The use of laminectomy for central stenosis and recalibration for lateral recess appears to be adequate.


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