scholarly journals Surgical outcomes for lumbar spinal canal stenosis in elderly patients

2018 ◽  
Vol 5 (5) ◽  
pp. 2279-2286
Author(s):  
Babak Mirzashahi ◽  
Mohammad Aghajani ◽  
Fatemeh Mirbazegh ◽  
Jayran Zebardast ◽  
Elham Ghasemi
Keyword(s):  
Elderly Patients ◽  
Activities Of Daily Living ◽  
Surgical Outcomes ◽  
Spinal Canal ◽  
Daily Living ◽  
Spinal Canal Stenosis ◽  
Fear Avoidance ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Lumbar Spinal

Purpose of the study: To understand surgical outcomes, based on standardized tools, after surgery of lumbar spinal canal stenosis in patients aged 65 years and older. Methods: A cross-sectional study was undertaken in 58 elderly patients before and after surgery. Demographic data, procedures, perioperative comorbidities, preoperative and postoperative pain intensity, primary activities of daily living, quality of life, and fear avoidance were collected at baseline. All patients were followed up to 6 and 12 months after operation. Results: Following surgery, there was a significant reduction in the VAS scale (for pain severity) and fear avoidance beliefs (FAB) questionnaire scale (P<0.001), and a significant increase in the 36-Item Short Form Health Survey (SF-36) index and the Barthel Index for Activities of Daily Living (ADL), which assesses functional independence) (P<0.001). Implication: The present study suggests that surgery in elderly patients is effective for the treatment of spinal stenosis, in those patients who did not respond well to conservative treatment.

Pathomechanism of Loss of Elasticity and Hypertrophy of Lumbar Ligamentum Flavum in Elderly Patients With Lumbar Spinal Canal Stenosis

Spine ◽  
2007 ◽  
Vol 32 (25) ◽  
pp. 2805-2811 ◽  
Author(s):  
Hirofumi Kosaka ◽  
Koichi Sairyo ◽  
Ashok Biyani ◽  
Douglas Leaman ◽  
Richard Yeasting ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Spinal Canal ◽  
Ligamentum Flavum ◽  
Spinal Canal Stenosis ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

scholarly journals Selectively Decompressive Nerve Root Surgery for Degenerative Lateral Lumbar Spinal Canal Stenosis in Elderly Patients

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376696-s-0034-1376696
Author(s):  
H. Zhou ◽  
D. Cao ◽  
S. Feng ◽  
G. Ning ◽  
C. Zhang ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Nerve Root ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

Lumbar spinal canal stenosis leads to locomotive syndrome in elderly patients

2019 ◽  
Vol 24 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Nobuyuki Fujita ◽  
Aiko Sakurai ◽  
Azusa Miyamoto ◽  
Takehiro Michikawa ◽  
Osahiko Tsuji ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Locomotive Syndrome ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

scholarly journals Osteoporotic profiles in elderly patients with symptomatic lumbar spinal canal stenosis

2012 ◽  
Vol 46 (3) ◽  
pp. 279 ◽  
Author(s):  
SeongHwan Moon ◽  
HwanMo Lee ◽  
ByungHo Lee ◽  
Ho Joong Kim ◽  
TaeHwan Kim
Keyword(s):  
Elderly Patients ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

scholarly journals Stand-Alone Posterior Expandable Cage Technique for Adjacent Segment Degeneration with Lumbar Spinal Canal Stenosis: A Retrospective Case Series

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 237
Author(s):  
Woo-Jin Choi ◽  
Seung-Kook Kim ◽  
Manhal Alaraj ◽  
Hyeun-Sung Kim ◽  
Su-Chan Lee
Keyword(s):  
Sagittal Balance ◽  
Spinal Canal ◽  
Interbody Fusion ◽  
Adjacent Segment Degeneration ◽  
Spinal Canal Stenosis ◽  
Adjacent Segment ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Lumbar Spinal ◽  
Expandable Cages

Background and Objectives: Symptomatic adjacent segment degeneration (ASD) with lumbar spinal canal stenosis (LSCS) is a common complication after spinal intervention, particularly interbody fusion. Stand-alone posterior expandable cages enable interbody fusion with preservation of the previous operation site, and screw-related complications are avoided. Thus, the aim of this study was to investigate the clinicoradiologic outcomes of stand-alone posterior expandable cages for ASD with LSCS. Materials and Methods: Patients with persistent neurologic symptoms and radiologically confirmed ASD with LSCS were evaluated between January 2011 and December 2016. The five-year follow-up data were used to evaluate the long-term outcomes. The radiologic parameters for sagittal balance, pain control (visual analogue scale), disability (Oswestry Disability Index), and early (peri-operative) and late (implant) complications were evaluated. Results: The data of 19 patients with stand-alone posterior expandable cages were evaluated. Local factors, such as intervertebral and foraminal heights, were significantly corrected (p < 0.01 and p < 0.01, respectively), and revision was not reported. The pain level (p < 0.01) and disability rate (p < 0.01) significantly improved, and the early complication rate was low (n = 2, 10.52%). However, lumbar lordosis (p = 0.62) and sagittal balance (p = 0.80) did not significantly improve. Furthermore, the rates of subsidence (n = 4, 21.05%) and retropulsion (n = 3, 15.79%) were high. Conclusions: A stand-alone expandable cage technique should only be considered for older adults and patients with previous extensive fusion. Although this technique is less invasive, improves the local radiologic factors, and yields favorable clinical outcomes with low revision rates, it does not improve the sagittal balance. For more widespread application, the strength of the cage material and high subsidence rates should be improved.

scholarly journals Wild-type transthyretin amyloid cardiomyopathy complicated by spinal canal stenosis, carpal tunnel syndrome, and rotator cuff tears: a case report

2020 ◽  
Author(s):  
Seiji Takashio ◽  
Masato Nishi ◽  
Yuichiro Tsuruta ◽  
Kenichi Tsujita
Keyword(s):  
Rotator Cuff ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Rotator Cuff Tears ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Tunnel Syndrome ◽  
Amyloid Cardiomyopathy ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

Abstract Background Wild-type transthyretin amyloid cardiomyopathy (ATTRwt-CM) is receiving increasing attention due to the availability of novel treatment options. Carpal tunnel syndrome (CTS) and lumbar spinal canal stenosis are known early symptoms of transthyretin (TTR) amyloidosis preceding the cardiac involvement and are considered as ‘Red Flags’ for transthyretin amyloid cardiomyopathy (ATTR-CM). Case summary A 67-year-old man with a history of lumbar spinal canal stenosis for the last 10 years, right rotator cuff tears for the last 4 years, and bilateral CTS for the last 1 year was scheduled for orthopaedic surgery for lumbar spinal canal stenosis. Investigations revealed severe left ventricular hypertrophy and hypertroponinaemia, which were suggestive of cardiac amyloidosis. Cardiac magnetic resonance imaging and 99mTc-labelled pyrophosphate scintigraphy demonstrated positive findings for ATTR-CM. Transthyretin deposition was found in both the myocardium and the yellow ligamentum excised during surgery. There was no transthyretin mutation on genetic testing. The final diagnosis was ATTRwt-CM. Discussion Transthyretin deposition in the ligaments or tendons has been observed in a number of patients with CTS, spinal canal stenosis, and rotator cuff tears. These orthopaedic diseases are predictive for the future occurrence of ATTR-CM. In addition, the coexistence of these multiple diseases might strongly predict ATTR-CM. This knowledge needs to be shared with orthopaedicians and cardiologists for the early diagnosis of ATTR-CM.

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