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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,199 - 1,205 (7page)
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초록· 키워드
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Development of anesthesiology and improvement of surgical instruments enabled aggressive surgical treatment even in elderly patients, who require more active physical activities than they were in the past. However, there are controversies about the clinical outcome of spinal surgery in elderly patients with spinal stenosis or spondylolisthesis. The purpose of this study is to review the clinicaloutcome of spinal surgery in elderly patients with spinal stenosis or spondylolisthesis. MEDLINE search on English-language articles was performed. There were 39685 articles from 1967 to 2013 regarding spinal disease, among which 70 dealt with geriatric lumbarsurgery. Eighteen out of 70 articles dealt with geriatric lumbar surgery under the diagnosis of spinal stenosis or spondylolisthesis. One was non-randomized prospective, and other seventeen reports were retrospective. One non-randomized prospective and twelve out of seventeen retrospective studies showed that old ages did not affect the clinical outcomes. One non-randomized prospectiveand ten of seventeen retrospective studies elucidated postoperative complications: some reports showed that postoperativecomplications increased in elderly patients, whereas the other reports showed that they did not increase. Nevertheless, most complications were minor. There were two retrospective studies regarding the mortality. Mortality which was unrelated to surgical procedure increased, but surgical procedure-related mortality did not increase. Surgery as a treatment option in the elderly patients with the spinal stenosis or spondylolisthesis may be reasonable. However, there is insufficient evidence to make strong recommendationsregarding spinal surgery for geriatric patients with spinal stenosis and spondylolisthesis.
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등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Acosta FL Jr / 2011 / Morbidity and mortality after spinal deformity surgery in patients 75 years and older: complications and predictive factors / J Neurosurg Spine 15:667~674
Atlas SJ / 1996 / The Maine Lumbar Spine Study, Part III. 1-year outcomes of surgical and nonsurgical management of lumbar spinal stenosis / Spine (Phila Pa 1976) 21:1787~1794
Atlas SJ / 2000 / Surgical and nonsurgical management of lumbar spinal stenosis: four-year outcomes from the maine lumbar spine study / Spine (Phila Pa 1976) 25:556~562
Atlas SJ / 2005 / Long-term outcomes of surgical and nonsurgical management of lumbar spinal stenosis: 8 to 10 year results from the maine lumbar spine study / Spine (Phila Pa 1976) 30:936~943
Amundsen T / 2000 / Lumbar spinal stenosis: conservative or surgical management?:a prospective 10-year study / Spine (Phila Pa 1976) 25:1424~1435
Atlas SJ / 1996 / The Maine Lumbar Spine Study, Part III. 1-year outcomes of surgical and nonsurgical management of lumbar spinal stenosis / Spine (Phila Pa 1976) 21:1787~1794
Atlas SJ / 2000 / Surgical and nonsurgical management of lumbar spinal stenosis: four-year outcomes from the maine lumbar spine study / Spine (Phila Pa 1976) 25:556~562
Atlas SJ / 2005 / Long-term outcomes of surgical and nonsurgical management of lumbar spinal stenosis: 8 to 10 year results from the maine lumbar spine study / Spine (Phila Pa 1976) 30:936~943
Amundsen T / 2000 / Lumbar spinal stenosis: conservative or surgical management?:a prospective 10-year study / Spine (Phila Pa 1976) 25:1424~1435
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