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[Long-term results of surgical treatment for lumbar spine degenerative. Disease in patients above 60 of age]

UNLABELLED: Aim of this study was to assess results of surgical treatment of patients with degenerative lumbar spine disease. MATERIAL AND METHODS: We analyzed 68 patients 65-82 years old. Clinical neurological examination, questionnaires, X-rays, multispiral CT scans were used for evaluation. RESULTS: After decompressive (group A) and decompressive-stabilizing surgery (group B) we observed significant decrease of low back pain intensity according to visual analogue scale (chi2 = 10.0; p = 0.024; p < 0.05) and leg pain intensity (chi2 = 24.4; p = 0.001; p < 0.05). However, Oswestry disability index (ODI) 4-6 years after decompressive-stabilizing surgery remained substantially low in comparison with decompressive procedures. ODI after surgery also remained significantly lower in comparison with preoperative level in both groups (chi2 = 71.4; p = 0.001; p < 0.05), however, after decompressive-stabilizing procedures positive dynamics of ODI was more prominent. Complex assessment of treatment outcomes discovered significant difference in rates of good and poor results between two groups. Good postoperative results in group A reached 38.7% while in group B--67.6% (z = 2.2; p = 0.032; p < 0.05); poor results in groups A and B were 29.0% and 2.7%, respectively (z = 2.7, p = 0.007, p < 0.05). CONCLUSION: Decompressive-stabilizing procedures are the most effective in treatment of degenerative lumbar spine disease Keywords : Aged,Aged,80 and over,Back,Back Pain,Decompression,Surgical,Humans,Leg,Low Back Pain,Lumbosacral Region,Male,methods,Middle Aged,Pain,pathology,Patients,physiopathology,Remission Induction,Spinal Diseases,Spine,surgery,Time Factors,Treatment Outcome,, Surgical,Treatment, symptoms of nerve pain in groin area

Date of Publication : 2011

Authors : Kozlov DM;Krut’ko AV;Kolotov EB;Akhmet’ianov S;

Organisation :

Journal of Publication : Zh Vopr Neirokhir Im N N Burdenko

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22066257

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