European Spine Journal

, Volume 17, Issue 2, pp 193–198

Long-term outcome of decompressive surgery for Lumbar spinal stenosis in octogenarians

  • Shay Shabat
  • Zeev Arinzon
  • Yoram Folman
  • Josef Leitner
  • Rami David
  • Evgeny Pevzner
  • Reuven Gepstein
  • Pekarsky Ilya
  • Ishay Shuval
Original Article

DOI: 10.1007/s00586-007-0514-8

Cite this article as:
Shabat, S., Arinzon, Z., Folman, Y. et al. Eur Spine J (2008) 17: 193. doi:10.1007/s00586-007-0514-8

Abstract

The purpose of our prospective study is to evaluate the surgical outcome among patients aged 80 years and above, who underwent surgery for lumbar spinal stenosis. We assessed patients’ clinical and demographic data, procedures, perioperative complications, preoperative and postoperative pain intensity, basic activities of daily living (BADL), patients’ satisfaction, the need for repeated surgery, and overall mortality. Thirty-nine patients more than 80 years of age were operated in our institution in the last decade. Twenty-five of them were followed-up with a mean 36.8 months after the operation. The Barthel index was used to evaluate pre and postsurgery ADL, and the visual analogue scale (VAS) was used to evaluate pain. The satisfaction rate of the patients before and after the operation and the complication rate were also evaluated. A significant reduction in VAS (P < 0.001) and a significant increase in the Barthel index (P < 0.001) were recorded. Seventy-six percent of the patients were very satisfied or somewhat satisfied with the operative results. Fifty-two percent of the patients had complications (0.9 complications per patients), however, about half of them were minor. No operative or perioperative mortality was noticed and the overall hospital stay for these elderly patients was 3.6 days on average. Surgery in very old elderly patients is safe and effective in the treatment of spinal stenosis, who did not respond well to the conservative treatment. The surgery did not increase the associated morbidity and mortality and most of the patients benefited from the surgery in terms of reduction in pain, increase in ADL and walking ability and overall increase in the satisfaction rate.

Keywords

Elderly Octogenarians Spinal stenosis Satisfaction Surgery 

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Shay Shabat
    • 1
    • 2
  • Zeev Arinzon
    • 1
    • 2
    • 3
  • Yoram Folman
    • 4
    • 5
  • Josef Leitner
    • 1
  • Rami David
    • 1
  • Evgeny Pevzner
    • 1
  • Reuven Gepstein
    • 1
    • 2
  • Pekarsky Ilya
    • 1
  • Ishay Shuval
    • 3
  1. 1.Spinal Care UnitSapir Medical CenterKfar-SabaIsrael
  2. 2.Sackler Medical SchoolTel Aviv UniversityRamat-AvivIsrael
  3. 3.Meuhedet Health Care SystemKfar SabaIsrael
  4. 4.Department of Orthopaedics BHillel Yaffe Medical CenterHaderaIsrael
  5. 5.Technion Medical SchoolHaifaIsrael

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