Clinical outcome in lumbar decompression surgery for spinal canal stenosis in the aged population: a prospective Swiss multicenter cohort study

Spine
Nils H UlrichLumbSten Research Collaboration

Abstract

This is a prospective, multicenter cohort study including 8 medical centers in the metropolitan area of the Canton Zurich, Switzerland. To examine whether outcome and quality of life might improve after decompression surgery for degenerative lumbar spinal stenosis (DLSS) even in patients older than 80 years and to compare data with a younger patient population from our own patient collective. Lumbar decompression surgery without fusion has been shown to improve quality of life in lumbar spinal canal stenosis. In the population older than 80 years, treatment recommendations for DLSS show conflicting results. Eight centers in the metropolitan area of Zurich, Switzerland agreed on the classification of DLSS, surgical principles, and follow-up protocols. Patients were followed from baseline, at 6 months, and 12 months. Baseline characteristics were analyzed with 5 different questionnaires "Spinal Stenosis Measure, Feeling Thermometer, Numeric Rating Scale, 5D-3L, and Roland and Morris Disability Questionnaire." In addition, our study population was compared with a younger control group. Furthermore, we calculated the minimal clinically important differences. Thirty-seven patients with an average age of 82.5 ± 2.5 years reached the ...Continue Reading

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Citations

Jan 24, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pascal ZehnderAnne F Mannion
Jul 4, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Rolf SobottkeEmin Aghayev
Sep 27, 2018·JBJS Reviews·Michael A MarkovitzJeffrey A Rihn
Sep 13, 2019·Applied Health Economics and Health Policy·Jenny ClelandJulie Ratcliffe
Sep 8, 2020·Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
Jan 9, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Haifeng LiangQinming Fei
Nov 16, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·H-J BeckerA F Mannion
May 14, 2021·Advances in Rheumatology·Luiz Claudio Lacerda Rodrigues, Jamil Natour
Feb 10, 2021·Clinical Spine Surgery : a Spine Publication·Michael T NolteKern Singh

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