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Lumbar disc herniation in the elderly.

G L Maistrelli, P A Vaughan, D C Evans

    Spine
    |January 1, 1987
    PubMed
    Summary
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    Surgical treatment for lumbar disc herniation in patients over 60 yields excellent results. This study shows that elderly patients with sciatica can achieve high satisfaction rates with proper diagnosis and surgical intervention.

    Area of Science:

    • Neurosurgery
    • Orthopedic Surgery
    • Geriatric Medicine

    Background:

    • Lumbar disc herniation is less common in elderly patients.
    • Sciatica and motor deficits are prevalent symptoms in this age group.
    • Surgical intervention requires careful patient selection and diagnosis.

    Purpose of the Study:

    • To evaluate the surgical outcomes of lumbar disc herniation in patients over 60 years old.
    • To assess the efficacy and safety of surgical treatment for this demographic.
    • To determine the factors contributing to successful surgical outcomes.

    Main Methods:

    • A retrospective analysis of 32 patients over 60 who underwent surgery for lumbar disc herniation.
    • Exclusion of other causes of low-back pain and bony nerve root entrapment.

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  • Follow-up assessment ranging from 1 to 10 years.

    • Main Results:

    • Sciatica was present in all patients, with 81% showing positive nerve root tension signs.
    • Motor deficit occurred in over half of the cases, and 50% had sequestrated discs.
    • 87% of patients achieved excellent or good outcomes, with no poor results or reoperations.

    Conclusions:

    • Surgical treatment for lumbar disc herniation in the elderly is effective.
    • Proper investigation and accurate diagnosis are crucial for successful surgical outcomes.
    • Elderly patients can experience high rates of satisfactory results following surgery for lumbar disc herniation.