Literature DB >> 32021012

Lumbar microdecompression in elderly versus general adult patients: Comparable outcomes and costs despite group differences.

Ziyad O Knio1, Samuel Rosas1, Michael S Schallmo1, Suman Medda1, Tadhg J O'Gara1,2.   

Abstract

This study investigated differences between patients <65 and ≥65 years of age following lumbar microdecompression. Differences between age groups were investigated with univariate analyses. A linear mixed effects model was fit to the study outcomes. 144 patients were studied. There was no difference in two-year outcomes between the age groups. Outcome measures showed improvement compared to baseline at one- and two-years (p < 0.001). Age group had a significant effect on back pain (p = 0.016). Patients ≥65 years of age may experience greater relief in back pain following microdecompression. Nonetheless, significant improvement is observed in both age groups at two-years.
© 2019 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Lumbar nerve decompression; Lumbar spinal stenosis; Microdecompression; Minimally invasive surgery; Tubular decompression

Year:  2019        PMID: 32021012      PMCID: PMC6995254          DOI: 10.1016/j.jor.2019.09.005

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  19 in total

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2.  US valuation of the EQ-5D health states: development and testing of the D1 valuation model.

Authors:  James W Shaw; Jeffrey A Johnson; Stephen Joel Coons
Journal:  Med Care       Date:  2005-03       Impact factor: 2.983

3.  Surgical versus nonsurgical therapy for lumbar spinal stenosis.

Authors:  James N Weinstein; Tor D Tosteson; Jon D Lurie; Anna N A Tosteson; Emily Blood; Brett Hanscom; Harry Herkowitz; Frank Cammisa; Todd Albert; Scott D Boden; Alan Hilibrand; Harley Goldberg; Sigurd Berven; Howard An
Journal:  N Engl J Med       Date:  2008-02-21       Impact factor: 91.245

4.  Treatment of Lumbar Spinal Stenosis by Microscopic Unilateral Laminectomy for Bilateral Decompression: A Technical Note.

Authors:  Kevin Phan; Ian Teng; Konrad Schultz; Ralph J Mobbs
Journal:  Orthop Surg       Date:  2017-05-26       Impact factor: 2.071

5.  Estimating EQ-5D values from the Oswestry Disability Index and numeric rating scales for back and leg pain.

Authors:  Leah Y Carreon; Kelly R Bratcher; Nandita Das; Jacob B Nienhuis; Steven D Glassman
Journal:  Spine (Phila Pa 1976)       Date:  2014-04-15       Impact factor: 3.468

6.  Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales.

Authors:  Anne G Copay; Steven D Glassman; Brian R Subach; Sigurd Berven; Thomas C Schuler; Leah Y Carreon
Journal:  Spine J       Date:  2008-01-16       Impact factor: 4.166

7.  Surgery for Lumbar Spinal Stenosis in Individuals Aged 80 and Older: A Multicenter Observational Study.

Authors:  Charalampis Giannadakis; Ole Solheim; Asgeir S Jakola; Trond Nordseth; Agnete M Gulati; Ulf S Nerland; Øystein P Nygaard; Tore K Solberg; Sasha Gulati
Journal:  J Am Geriatr Soc       Date:  2016-09-09       Impact factor: 5.562

Review 8.  Lumbar spinal stenosis in the elderly: an overview.

Authors:  Marek Szpalski; Robert Gunzburg
Journal:  Eur Spine J       Date:  2003-09-09       Impact factor: 3.134

9.  Outcomes after decompressive laminectomy for lumbar spinal stenosis: comparison between minimally invasive unilateral laminectomy for bilateral decompression and open laminectomy: clinical article.

Authors:  Ralph Jasper Mobbs; Jane Li; Praveenan Sivabalan; Darryl Raley; Prashanth J Rao
Journal:  J Neurosurg Spine       Date:  2014-05-30

Review 10.  Case presentation and short perspective on management of foraminal/far lateral discs and stenosis.

Authors:  Nancy E Epstein
Journal:  Surg Neurol Int       Date:  2018-04-23
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