Study of Spinosurgery in Aged Patients

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Of late years, surgical treatment of aged patients has been increasing with the current social tendency toward aging. On this occasion, we report here the results of our examination of the usefulness and significance of spinosurgery in patients aged over 70 years who have received spinosurgery during the past 3 years.Subjects were the following 13 cases (10 males and 3 females) with an average age of 73.7 years: lumbar spinal stenosis (9 cases), cervical spondylotic myelopathy (2 cases), ossification of posterior longitudinal ligament (1 case) and thoracic disc herniation (1 case). Analytical examination was made of complications and operative results.The highest incidence of complication was shown by hypertension, followed by ischemic heart diseases. In terms of the operative results in a postoperative observational period of 1 year and 7 months on an average, improvement was obtained from 15.44 (preoperative average) to 25.33 (postoperative average) for lumbar spinal disease and from 9.50 (preoperative average) to 15.25 (postoperative average) for cervical spinal disease according to the J. O. A. scoring. The above results suggest that the operative effect can substantially be hoped for if proper indication is selected in consideration of preoperative complications and therefore the surgical treatment is significant even for aged patients.
西日本整形・災害外科学会の論文