Treatment options for lumbar spinal stenosis in the elderly - an evidence based approach to a staged stepwise surgical treatment
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Published:
Feb 18, 2011
Keywords:
Spinal stenosis treatment Spinal decomression Spinal surgery O-Arm
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Abstract
Spinal stenosis is found frequently in the elderly, especially after the age of 55. The condition has become increasingly symp tomatic of longer life expectancy and a more active life style in the senior age group. Symptoms can range from an occasional, spontaneously reversible backache and claudication to full blown severe walking difficulties. More severe presentations of this condi- tion frequently lead to a more rapid advancement of other existing co-morbidities such as Diabetes Mellitus and Ischemic Heart Diseases, which require the ability to regularly exercise in order to maintain good control over the condition.
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1.
Thienprasit P. Treatment options for lumbar spinal stenosis in the elderly - an evidence based approach to a staged stepwise surgical treatment. BKK Med J [Internet]. 2011 Feb. 18 [cited 2024 Dec. 27];1(1):92. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/217673
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References
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9. Kim J, Lee K, et al. Which lumbar interbody fusion technique is better in terms of level for the treatment of unstable isthmic spondylolisthesis?. J Neurosurg Spine 2010;12:171-177
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11. Rosa G L, Conti A, et al. Pedicle screw fixation for isthmic spondylolisthesis: does posterior lumbar inter- body fusion improve outcome over posterolateral fusion?. J Neurosurg Spine 2 2003;99:143-150
12. Resnick D K, Choudhri T F, et al. Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part9: fusion in patients with stenosis and spondylolisthesis. J Neurosurg Spine 2005;2:679-685
13. Resnick D K, Choudhri T F, et al. Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 10: fusion following decompression in patients with stenosis without spondy- lolisthesis. J Neurosurg Spine 2005;2:686-691
14. Sabo R A, Tracy P T, et al. A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. J Neurosurg Spine 1996;85:560-565
15. Sansur C A, Reames D L, et al. Morbidity and mortality in the surgical treatment of 10,242 adults with spondylo- listhesis. J Neurosurg Spine 2010;13:589-593
16. Kristof R A, Aliashkevich A F, et al. Degenerative lumbar spondylolisthesis- induced radicular compres- sion: nonfusion- related decompression in selected patients without hypermobility on flexion- extension radiographs. J Neurosurg Spine 2002;97:281-286
17. Scoville W B, Corkill G. Lumbar spondylolisthesis with ruptured disc. J Neurosurg Spine 1974;40:529-534
18. Shenkin H A, Hash C J. Spondylolisthesis after multiple bilateral laminectomies and facetectomies for lumbar spondylosis. J Neurosurg Spine 1979;50:45-47
19. Palmer S, Turner R, et al. Bilateral decompressive surgery in lumbar spinal stenosis associated with spon- dylolisthesis: unilateral approach and use of a micro- scope and tubular retractor system. Neurosurg Focus 2002;13:1-6
20. Tuite G F, Doran S E, et al. Outcome after laminectomy for lumbar spinal stenosis. J Neurosurg Spine 1994;81: 707-715
2. Caputy A J, Spence C A, et al. The role of spinal fusion in surger for lumbar spinal stenosis: a review. Neurosrg Focus 3(2): Article3,1997.
3. Coric D, Branch C L. Posterior lumbar interbody fusion inthetreatment of symptomatic spinal stenosis. Neurosurg Focus 3(2): Article5, 1997.
4. Epstein N E. Surgical management of lumbar stenosis: decompression and indications for fusion. Neurosurg Focus 3(2):Article 1, 1997.
5. Fox M W, Onofrio B M, et al. Clinical outcomes and radiological instability following decompressive lumbar for degenerative spinal stenosis: a comparison of patients undergoing concomitant arthrodesis versus decompres- sion alone. J Neursurg 1996;85:793-802
6. Ghogawala Z, C E, et al. Prospective outcomes evalua- tion after decompression with or without instrumented fusion for lumbar stenosis and degenerative Grade I spondylolisthesis. J Neurosurg Spine 2004;1:267-272
7. Hosono N, Namekata M, et al. Perioperative complica- tions of primary posterior lumbar interbody fusion for nonisthmic spondylolisthesis: analysis of risk factors. J Neurosurg Spine 2008;9:403-407
8. Isaacs R E, Podichetty V K, et al. Minimally invasive nicroendoscopy-assisted transforaminal lumbar inter- body fusion with instrumentation. J Neurosurg Spine 2005;3:98-105
9. Kim J, Lee K, et al. Which lumbar interbody fusion technique is better in terms of level for the treatment of unstable isthmic spondylolisthesis?. J Neurosurg Spine 2010;12:171-177
10. Kinoshita T, Isao O, et al. Results of degenerative spondlolisthesis treated with posterior decompression alone via a new surgical approach. J Neurosurg Spine 2001;95:11-16
11. Rosa G L, Conti A, et al. Pedicle screw fixation for isthmic spondylolisthesis: does posterior lumbar inter- body fusion improve outcome over posterolateral fusion?. J Neurosurg Spine 2 2003;99:143-150
12. Resnick D K, Choudhri T F, et al. Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part9: fusion in patients with stenosis and spondylolisthesis. J Neurosurg Spine 2005;2:679-685
13. Resnick D K, Choudhri T F, et al. Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 10: fusion following decompression in patients with stenosis without spondy- lolisthesis. J Neurosurg Spine 2005;2:686-691
14. Sabo R A, Tracy P T, et al. A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. J Neurosurg Spine 1996;85:560-565
15. Sansur C A, Reames D L, et al. Morbidity and mortality in the surgical treatment of 10,242 adults with spondylo- listhesis. J Neurosurg Spine 2010;13:589-593
16. Kristof R A, Aliashkevich A F, et al. Degenerative lumbar spondylolisthesis- induced radicular compres- sion: nonfusion- related decompression in selected patients without hypermobility on flexion- extension radiographs. J Neurosurg Spine 2002;97:281-286
17. Scoville W B, Corkill G. Lumbar spondylolisthesis with ruptured disc. J Neurosurg Spine 1974;40:529-534
18. Shenkin H A, Hash C J. Spondylolisthesis after multiple bilateral laminectomies and facetectomies for lumbar spondylosis. J Neurosurg Spine 1979;50:45-47
19. Palmer S, Turner R, et al. Bilateral decompressive surgery in lumbar spinal stenosis associated with spon- dylolisthesis: unilateral approach and use of a micro- scope and tubular retractor system. Neurosurg Focus 2002;13:1-6
20. Tuite G F, Doran S E, et al. Outcome after laminectomy for lumbar spinal stenosis. J Neurosurg Spine 1994;81: 707-715