Rolf Sobottke1,2, Christian Herren3, Jan Siewe2, Anne F Mannion4, Christoph Röder5, Emin Aghayev5. 1. Department of Orthopaedic Surgery, Medizinisches Zentrum StädteRegion Aachen GmbH, Mauerfeldchen 25, 52146, Würselen, Germany. 2. Department of Orthopaedic and Trauma Surgery, University of Cologne, Joseph-Stelzmann-Straße 9, 50924, Cologne, Germany. 3. Department for Trauma and Reconstructive Surgery, University Clinic RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany. cherren@ukaachen.de. 4. Spine Centre Division, Department of Research and Development, Schulthess Klinik, Lengghalde 2, 8008, Zurich, Switzerland. 5. Institute for Evaluative Research in Medicine, University of Bern, Stauffacherstrasse 78, 3014, Bern, Switzerland.
Abstract
BACKGROUND: An open decompression is the most common treatment for lumbar spinal canal stenosis (LSS), even in the elderly. However, it is not clear whether the treatment outcome is age dependent. The main purpose of this study was to evaluate the improvement in quality of life (QoL) and pain relief, after open decompression for LSS in relation to patient age. METHODS: The study was performed on the basis of Spine Tango registry data. The database query resulted in 4768 patients from 40 international Spine Tango centres. The patients were subdivided into three age groups: (1) 20-64, (2) 65-74, and (3) ≥75 years. In multivariate logistic regression models, predictors for improvement in QoL and achievement of the minimum clinically relevant change in pain of two points were analysed. RESULTS: All groups benefited from significant improvement in QoL and back and leg pain relief. Age group had no significant influence on the outcomes. The preoperative status of each outcome was a predictor for its own postoperative outcome. Fewer previous surgeries, rigid or dynamic stabilization, and lower patient comorbidity also had a partially predictive influence for one or the other outcome. CONCLUSIONS: Our results confirm that all age groups significantly benefit from the open decompressive treatment of LSS. Age group had no significant influence on any outcome.
BACKGROUND: An open decompression is the most common treatment for lumbar spinal canal stenosis (LSS), even in the elderly. However, it is not clear whether the treatment outcome is age dependent. The main purpose of this study was to evaluate the improvement in quality of life (QoL) and pain relief, after open decompression for LSS in relation to patient age. METHODS: The study was performed on the basis of Spine Tango registry data. The database query resulted in 4768 patients from 40 international Spine Tango centres. The patients were subdivided into three age groups: (1) 20-64, (2) 65-74, and (3) ≥75 years. In multivariate logistic regression models, predictors for improvement in QoL and achievement of the minimum clinically relevant change in pain of two points were analysed. RESULTS: All groups benefited from significant improvement in QoL and back and leg pain relief. Age group had no significant influence on the outcomes. The preoperative status of each outcome was a predictor for its own postoperative outcome. Fewer previous surgeries, rigid or dynamic stabilization, and lower patient comorbidity also had a partially predictive influence for one or the other outcome. CONCLUSIONS: Our results confirm that all age groups significantly benefit from the open decompressive treatment of LSS. Age group had no significant influence on any outcome.
Authors: Molly T Vogt; Peggy Mannen Cawthon; James D Kang; William F Donaldson; Jane A Cauley; Michael C Nevitt Journal: Spine (Phila Pa 1976) Date: 2006-06-01 Impact factor: 3.468
Authors: Christian Herren; Rolf Sobottke; Anne F Mannion; Thomas Zweig; Everard Munting; Philippe Otten; Tim Pigott; Jan Siewe; Emin Aghayev Journal: Eur Spine J Date: 2017-06-20 Impact factor: 3.134
Authors: Thomas Zweig; Juliane Enke; Anne F Mannion; Rolf Sobottke; Markus Melloh; Brian J C Freeman; Emin Aghayev Journal: Eur Spine J Date: 2016-12-15 Impact factor: 3.134
Authors: Pascal Zehnder; Emin Aghayev; Tamas F Fekete; Daniel Haschtmann; Tim Pigott; Anne F Mannion Journal: Eur Spine J Date: 2016-01-22 Impact factor: 3.134
Authors: Amandine Bays; Andrea Stieger; Ulrike Held; Lisa J Hofer; Eva Rasmussen-Barr; Florian Brunner; Johann Steurer; Maria M Wertli Journal: N Am Spine Soc J Date: 2021-06-02
Authors: Sunghoon I Lee; Andrew Campion; Alex Huang; Eunjeong Park; Jordan H Garst; Nima Jahanforouz; Marie Espinal; Tiffany Siero; Sophie Pollack; Marwa Afridi; Meelod Daneshvar; Saif Ghias; Majid Sarrafzadeh; Daniel C Lu Journal: J Neuroeng Rehabil Date: 2017-07-18 Impact factor: 5.208