Journal of Korean Society of Geriatric Neurosurgery 2014;10(1):7-12.
Published online June 30, 2014.
Comparison between the Elderly and Younger Patients about Symptoms and Complications after Simple Lumbar Discectomy
Dae-Hyo Song , Hyoung-Joon Chun , Kyu-Sun Choi , Hyeong-Joong Yi, Koang Hum Bak , Yong Ko
Department of Neurosurgery, Hanyang University College of Medicine, Seoul, Korea
젊은 환자와 노인 환자의 추간판 제거술 후의 증상과 합병증에 대한 비교
송대효·전형준·최규선·이형중·백광흠·고 용
한양대학교 의과대학 신경외과학교실
Abstract
Objective
The rate of growth of the elderly population has increased for last several decades. The purpose of this study was to evaluate the clinical outcome and complications after simple lumbar discectomy in elderly patients by comparing with younger patients. Methods: During 4 years from January 2009 to December 2012, 83 patients with lumbar disc herniation who underwent simple lumbar discectomy were enrolled in this retrospective study. 31 patients were older than 70 years old (group A), and 52 patients were younger than 49 years old (group B). The Visual analogue scale (VAS) was recorded for the comparative postoperative(surgical) outcome. We retrospectively evaluated several factors for comparative complications. And, follow-up period is longer than 6 months at least. Results: Postoperative (surgical) outcome have no statistically significant difference between group A and group B. Complications also have not significant difference statistically in both groups. Postoperative symptoms in younger patients was better than in the elderly. The incidences of dural tear, infection and postoperative low back pain were higher in elderly patients. But, there were not statistical significant differences except for dural tear (p<0.05). Conclusion: Although statistically postoperative (surgical) outcome and complications after simple lumbar discectomy were almost not significant differences between the elderly and younger patients. However, if the surgeon has sufficient experience and good skill, simple lumbar discectomy can be effective treatment and favorable outcome.
Key Words: DiscectomyㆍElderly patientㆍOutcomeㆍVisual analogue scale
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