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2015, Number 1

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Revista Cubana de Ortopedia y Traumatología 2015; 29 (1)

Surgical treatment of degenerative lumbar stenosis in octogenarians

Tabares NHI, Díaz QJM

Language: Spanish
References: 32
Page: 9-23
PDF size: 374.02 Kb.


ABSTRACT

Introduction: the diagnosis of degenerative lumbar stenosis has increased in recent years and it represents an important part of the daily activities of spinal surgeons. Patients older than 80 have characteristics and comorbidities that increase the perioperative risk causing bad results.
Objective: show results in the surgical treatment by decompression of patients older than 80 years diagnosed with degenerative lumbar stenosis.
Methods: a prospective longitudinal intervention study was conducted in 13 patients older than 80 years of age, seven men and six women diagnosed and treated for degenerative lumbar stenosis, from January 1, 2005 to October 31, 2011, at the Center for Research in Longevity, Aging and Health, and they were evaluated two years later.
Results: predominant involvement of four or more intervertebral spaces, more than two years of suffering primarily symptom of neurogenic claudication, comorbidities and cardiovascular causes occurred five perioperative complications. Reducing pain and disability was significant, with a predominance of good and fair results.
Conclusions: surgical treatment of degenerative lumbar stenosis, in patients older than 80 years, according to our results, produces beneficial effects, with reduced pain and disability and low occurrence of complications.


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