Surgical Treatment Of Degenerative Stenosis Research Articles

Results of surgical treatment of degenerative stenosis of the lumbar spine in elderly and old patients

Aim. To evaluate the results of surgical treatment in older patients with lumbar spinal stenosis.Materials and methods. The study is based on the results of a comprehensive examination and surgical treatment of 20 patients who were hospitalized in the neurosurgery department of the SI NMC “Shifobakhsh” in the Department of Neurosurgery and Combined Trauma of the ATSMU with stenosis of the lumbar spine with various options for the clinical course. Assessment of the neurological status in degenerative spinal disease was conducted using a visual analog scale (VAS.)Results. When comparing subgroups, it was noted that decompressive interventions show the best results for lumbar spinal stenosis in the older age group.Conclusion. The use of differentiated microsurgical decompression techniques in older patients with degenerative lateral and central spinal canal stenosis provides an improvement in quality of life.

Surgical treatment of spinal canal stenosis at the lumbar level in the elderly and senile patients

The review provides current data on the available literature on pathophysiology and clinical features of degenerative spinal canal stenosis in age-related patients. The possibilities of modern instrumental diagnostics of this pathology are described, a differential clinical diagnosis of lumbar stenosis is presented. Methods of surgical treatment of degenerative stenosis are described. The data on the effectiveness of surgical treatment, including in elderly patients. The features of anesthesia and risk factors for the adverse outcome of the surgical treatment of degenerative stenosis in elderly patients are described.

Surgical Treatment of Degenerative Stenosis, Spondylolisthesis and Scoliosis: A Single-Center Experience

Surgical Treatment of Degenerative Stenosis, Spondylolisthesis and Scoliosis: A Single-Center Experience

Functional and clinical evaluation for the surgical treatment of degenerative stenosis of the lumbar spinal canal

This study was designed to evaluate the efficacy of decompressive surgery for degenerative lumbar spinal stenosis (LSS) on a functional and clinical basis. A prospective analysis and follow-up of 125 consecutive patients with degenerative LSS between 2000 and 2006 were performed. All patients underwent surgery for lumbar stenosis. Functional evaluations of the patients were performed using a treadmill, the visual analog scale, and the Oswestry Disability Questionnaire (ODQ). These parameters were recorded before surgery and the 3rd month and 1st and 2nd years after treatment. The first symptom time (FST), maximal walking duration (MWD), and thecal sac cross-sectional area (CSA) before and after surgery were also recorded. Statistical relations between variables were calculated. As patient ages increased, the CSA of the thecal sac decreased. Decompressive surgery reached the target according to the difference between the preoperative and postoperative thecal sac CSA. A correlation between the CSA of the thecal sac and FST, and between the CSA of the thecal sac and MWD could not be established. There was a significant correlation between the FST and MWD, and a negative correlation could be established between the MWD and the ODQ score. Surgery led to significant decreases in the ODQ score. Maximal improvement was observed in the 3rd month after decompressive surgery. The treatment for LSS should be decided using functional criteria; radiological criteria may not correlate with the severity of the disease. Improvements following lumbar decompression surgery continued within 1 year of treatment according to the ODQ and did not change significantly thereafter.