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Lumbar surgery in the elderly.

M R Quigley1, R Kortyna, C Goodwin

  • 1Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania.

Neurosurgery
|May 1, 1992
PubMed
Summary
This summary is machine-generated.

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Lumbar corrective procedures in elderly patients (≥70 years) show acceptable morbidity and good outcomes. Most patients reported significant symptom relief, demonstrating the safety and efficacy of these surgeries in older adults.

Area of Science:

  • Neurosurgery
  • Geriatric Medicine
  • Spinal Surgery

Background:

  • Neuroimaging advances increase elderly patients undergoing lumbar surgery.
  • Limited literature exists on outcomes and complications in this demographic.
  • Management of lumbar disease in older adults presents unique challenges.

Purpose of the Study:

  • To evaluate the safety and efficacy of lumbar corrective procedures in patients aged 70 years and older.
  • To assess outcomes, morbidity, and patient satisfaction in this elderly cohort.
  • To provide comprehensive data on lumbar surgery outcomes in the elderly population.

Main Methods:

  • Retrospective review of 155 surgical procedures for benign lumbar disease.
  • Patients were aged 70 years or older, treated between January 1986 and June 1988.

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  • Data collected included patient demographics, diagnoses, hospital stay, morbidity, and long-term follow-up.

    • Main Results:

    • 143 patients underwent 155 procedures (average age 74.9 years).
    • Common diagnoses included herniated disc, disc with ligament/bone hypertrophy, and lateral recess/stenosis.
    • Major morbidity was low (6.9%) with no deaths; hospital stay averaged 7.5 days.
    • At follow-up (34.3 months), 66.6% reported minimal discomfort, and 77.3% were pleased with the outcome.

    Conclusions:

    • Lumbar corrective procedures can be safely performed in patients aged 70 years and older.
    • These operations offer a reasonable expectation of clinical improvement for elderly patients with benign lumbar disease.
    • The study provides robust evidence supporting surgical intervention for lumbar conditions in the geriatric population.