Surgical results of degenerative spondylolisthesis patients over 70 years old: a single-center experience and clinical outcomes

Abstract

AIm:The aim of this study is to evaluate results of surgery in Degenerative Spondylolisthesis (DS) patients over 70 years old. mATeRIAL and meTHods: This is a non-randomized retrospective analysis of the clinical outcome of 34 patients older than 70 years who underwent surgery. At the end of two-year follow-up period, preoperative and postoperative courses were assessed by Oswestry Disability Index (ODI) and Visual Analog Scales (VAS). ResuLTs:The mean age was 75 years (range 70-86 years). The mean duration of symptoms was 13.5 years (range 2-30 years). All patients underwent physiotherapy and also 15 (11 female, 4 male) patients used brace. L4-L5 was the most commonly affected level (n=26), Preoperative ODI and VAS scores were mean 71,63 (range 34-100) and 6,77 (range 2-9) (p<0,05). Postoperative ODI and VAS scores were mean 22,73 (range 0-100) and 2,13 (range 0-10) (p<0,05). Patients were asked if they had known the outcome, would they accept surgical treatment or not. 86.6% (n=26) of the patients answered the question positively. BuLGuLAR: Ortalama yaş 75 yıldı (70-86 yaş arası). Semptomların ortalama süresi 13.5 yıldı (2-30 yıl arası). Tüm hastalar fizyoterapi görmüştü ve 15 hasta (11 bayan ve 4 erkek) korse kullanmıştı. L4-L5 en sık etkilenen seviyeydi (n=26), Preoperatif ODI ve VAS skorları ortalama 71,63 (34-100 arası) ve 6,77 idi (2-9 arası) (p<0,05). Postoperatif ODI ve VAS skorları ortalama 22,73 (0-100 arası) ve 2,13 idi (0-10 arası) (p<0,05). Hastalara eğer sonucunu bilselerdi, ameliyatı kabul edip etmeyecekleri soruldu. Hastaların %86.6'sı soruya olumlu cevap verdi. soNuÇ: 70 yaş üstü DS'li yaşlı hastalarda, foraminotomi ile konvansiyonel dekompresif laminektomi ve in situ posterolateral füzyon ile transpediküler enstrümentasyon gerekir, ağrıları azaltır ve fonksiyonel iyileşme sağlar.

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

“…The results of this study showed that participants had moderate levels of disability (40.42 ± 14.93) and anxiety (44.53 ± 12.55) on average, and 31.6% of the participants had a certain level of depression (12.37 ± 8.48). These findings correspond with those of past studies (Atabey et al, ; Bener et al, ; Sathya et al, ). In a study among 112 patients with lumbar disease, Boakye et al () found that 75% of participants experienced severe to high disability, and 40%, moderate to severe depression.…”

“…This finding is consistent with that of past studies (Kim, Yi, & Cynn, ; Vanti, Ferrari, Villafañe, Berjano, & Monticone, ). Atabey et al () conducted a study on patients with lumbar spondylolisthesis and discovered that higher intensity pain resulted in a higher level of disability. Family support also had a bearing on preoperative disability ( p = .01); patients who were more satisfied with the family support they received appeared to have a lower level of disability.…”

Clinical results after surgical treatment in young male patients with low grade isthmic spondylolisthesis

“…Atabey et al applied insitu posterolateral transpedicular fusion to 34 patients with lumbar spondylolisthesis over age 70. The authors mentioned significant clinical improvement in their assessment with ODI and VAS scores [11]. We didn't make decompression in our patients because they were young in age and had no radicular pain.…”

“…There is a consensus in the literature about the addition of surgery to decompression. There is a decline in neurological and radical symptoms with decompression [11].…”