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Association Between Frailty And Locomotive Syndrome In Elderly Patients With Lumbar Spinal Stenosis: A Retrospective Longitudinal Analysis London Spine Lumbar Stenosis

The article discusses the association between frailty and locomotive syndrome in patients with lumbar spinal stenosis (LSS). The study aimed to validate this association and examine the involvement of frailty in locomotive syndrome following surgery. The researchers reviewed the time-course data of elderly patients who underwent lumbar spinal surgery for LSS. They evaluated the stages of locomotive syndrome using a geriatric locomotive function scale and defined frailty levels based on a modified frailty index. The study included 234 patients, and while LSS surgery improved locomotive syndrome for all patients, frailty was found to inhibit improvement after surgery. The findings emphasize the importance of screening for frailty in this patient group

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised spine facility on Harley Street UK

Published article

CONCLUSIONS: This study first assessed the association between locomotive syndrome and frailty in patients with LSS. Locomotive syndrome could be managed effectively with surgery regardless of frailty severity in old patients with LSS. However, our findings emphasize the need to screen for frailty preoperatively in this patient group. Geriatr Gerontol Int 2023; ••: ••-••.

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract Aims: With the aging society worldwide, lumbar spinal stenosis (LSS) has become common, and its incidence has been increasing worldwide. Frailty and locomotive syndrome significantly overlap as disorders in older people. The current study aimed to validate the association between frailty and locomotive syndrome in patients with LSS. In particular, the involvement of frailty,

Abstract

Aims: With the aging society worldwide, lumbar spinal stenosis (LSS) has become common, and its incidence has been increasing worldwide. Frailty and locomotive syndrome significantly overlap as disorders in older people. The current study aimed to validate the association between frailty and locomotive syndrome in patients with LSS. In particular, the involvement of frailty in locomotive syndrome following surgery was examined.

Methods: We retrospectively reviewed the time-course data of consecutive patients aged ≥65 years who underwent lumbar spinal surgery for LSS. The locomotive syndrome stages were determined using the 25-Question Geriatric Locomotive Function Scale: stage 0, score ≤6; stage 1, score ≥7; stage 2, score ≥16; and Stage 3, score ≥24. Robust, pre-frailty, and frailty were defined as a modified frailty index-11 score of 0, <0.21, and >0.21, respectively.

Results: This study included 234 patients. All patients except one were diagnosed with locomotive syndrome preoperatively. Approximately 24.8% of participants were diagnosed with frailty. LSS surgery improved locomotive syndrome regardless of frailty severity. Meanwhile, multivariable analysis indicated that frailty could significantly inhibit improvement in locomotive syndrome after surgery in old patients with LSS (estimated relative risk: 0.6; 95% confidence interval: 0.4-0.9).

Conclusions: This study first assessed the association between locomotive syndrome and frailty in patients with LSS. Locomotive syndrome could be managed effectively with surgery regardless of frailty severity in old patients with LSS. However, our findings emphasize the need to screen for frailty preoperatively in this patient group. Geriatr Gerontol Int 2023; ••: ••-••.

Keywords: 25-question geriatric locomotive function scale; frailty; locomotive syndrome; lumbar spinal canal stenosis; modified frailty index.

The London Spine Unit : best recognised spine facility on Harley Street UK

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Association between frailty and locomotive syndrome in elderly patients with lumbar spinal stenosis: A retrospective longitudinal analysis

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Abstract Aims: With the aging society worldwide, lumbar spinal stenosis (LSS) has become common, and its incidence has been increasing worldwide. Frailty and locomotive syndrome significantly overlap as disorders in older people. The current study aimed to validate the association between frailty and locomotive syndrome in patients with LSS. In particular, the involvement of frailty

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