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[Lumbar intervertebral disk operation in the aged].

K von Wild1

  • 1Neurochirurgische Abteilung, Clemenshospital, Akademisches Lehrkrankenhaus, Westfälischen Wilhelms-Universität Münster.

Zentralblatt Fur Neurochirurgie
|January 1, 1990
PubMed
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Surgery for lumbar disc protrusion in older adults is increasingly common due to improved diagnostics. Microsurgical decompression offers a safe and effective solution for nerve root compression in patients over 70.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Geriatric Medicine

Context:

  • Lumbar disc protrusion surgery is rare in patients over 70 (1%).
  • Improved diagnostics (EMG, CT, MRI) increased surgical rates to 3.2% in this age group.
  • 50% of older patients had sequestered disc protrusions.

Purpose:

  • To evaluate the efficacy and safety of wide microsurgical decompression for lumbar disc protrusion in elderly patients.
  • To assess surgical outcomes, complications, and long-term results in patients aged 71 and older.

Summary:

  • 68 elderly patients (71-93 years) underwent microsurgical decompression for lumbar disc protrusion.
  • Zero surgical mortality and no serious intra- or post-operative complications with persistent damage were observed.

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  • 68% of patients reported good to excellent long-term results, with significant pain reduction (66%) and neurological deficit improvement (72%).

    • Impact:

    • Microsurgical decompression is a safe and effective treatment for lumbar disc protrusion in the elderly.
    • Early surgical intervention can prevent irreversible damage and improve quality of life in older adults.
    • This study highlights the importance of considering lumbar disc protrusion in elderly patients with therapy-resistant nerve root compression.