Transpedikuläre lumbale Spondylodese beim alten Patienten

Rompe, Jan D.; Eysel, Peer; Hopf, C.; Heine, J.

doi:10.1055/s-2008-1039445

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…It must be noted here that our study population included a high percentage of male patients. So far, studies that targeted the investigation of functional outcome and quality of life of old patients, commonly concentrated on osteoporosisrelated vertebral fractures involving no or only minor instabilities and thus included mainly female patients in their study populations [4,17].…”

Section: Discussionmentioning

confidence: 99%

“…The most common complications of spinal surgery are wound infections, implant failures, and pedicle screw misplacements, with the latter being related with the risk of iatrogenic damage of the spinal cord [17].…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, there are only studies [19,[29][30][31][32][33][34][35] that evaluated the quality of life using a questionnaire, while not considering level of care and homecare nursing. Studies with younger patients who had undergone spinal surgery partially evaluated the outcome of the procedure based on the postoperative working life of the patients [17]. All patients of our study population had already retired prior to surgery.…”

Section: Discussionmentioning

confidence: 99%

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Health Related Quality Of Life Outcome After Operative Treatment Of Traumatic Vertebral Fractures In Geriatric Patients.

Franz¹,

Füchtmeier²,

Bernd³

et al. 2012

J Trauma Treat

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Study background: Quality of life survey conducted after the surgical stabilisation of traumatic thoracic and lumbar vertebral fractures in geriatric patients. Methods: Over a period of 5 years, 42 patients at an age of more than 65 years underwent surgical stabilisation due to an unstable traumatic fracture of the thoracic or lumbar spine. Initially, retrospective empiric data collection was conducted, followed by a prospective radiological and clinical follow-up, including VAS and SF-12. Results: It was possible to conduct a postoperative radiological and clinical follow-up in 31 out of 42 patients (74%) after a mean period of 27.3 months. In 11 out of 42 patients (26%), clinical outcome data were collected by relatives. The mean age at the time of surgery was 71.4 years (range 65 to 87 years), and the injury had almost exclusively been stabilised by using a dorsal internal fixator. The surgical revision rate was 12% (5 out of 42 patients), and postoperative 1-year mortality was also 12% (5 out of 42 patients). At the time of the follow-up, a significant loss of correction was observed in lateral x-ray images when compared to immediate postsurgical results. Quality of life (as measured by SF-12) was significantly reduced at the time of the follow-up compared to a healthy reference population. A significant postoperative decline was also observed with regard to homecare nursing and level of care categories. On the other hand, none of the patients lived in a nursing home, and 35 out of 42 patients (83%) were satisfied or very satisfied with the surgical treatment (as measured by a summary measure). Conclusions: The surgical treatment of traumatic vertebral fractures in geriatric patients resulted in high subjective patient satisfaction post surgery. However, quality of life (SF-12) after an average period of 27.3 months post surgery was still significantly reduced when compared to a healthy reference population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Health Related Quality Of Life Outcome After Operative Treatment Of Traumatic Vertebral Fractures In Geriatric Patients.

Franz¹,

Füchtmeier²,

Bernd³

et al. 2012

J Trauma Treat

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Die lumbale Spinalkanalstenose

Delank¹,

Eysel²

2000

Wirbelsäulenchirurgie

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Circumferential Fusion of the Lumbar and Lumbosacral Spine Using a Carbon Fiber ALIF Cage Implant Versus Autogenous Bone Graft: A Comparative Study

Zelle¹,

König²,

Enderlé³

et al. 2002

Journal of Spinal Disorders & Techniques

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This study reports on 92 patients treated with circumferential lumbar fusions for degenerative conditions. The elected procedure was a circumferential fusion using transpedicular stabilization. Two groups were examined depending on whether they were stabilized anteriorly with autogenous bicortical iliac crest graft (n = 38) or with an ALIF carbon fiber cage implant (n = 54). The patients were evaluated for clinical and radiographic outcome. The minimum follow-up interval was at least 12 months. Fusion rates, postoperative loss of correction, and clinical results, including pain at the bone donor site, neurologic function, satisfaction, depression, and consumption of analgesics, were not significantly different between patients with autogenous bone graft and patients with carbon cage. This study failed to prove major advantages of the carbon cages in the clinical and radiologic outcome.

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Transpedikuläre lumbale Spondylodese beim alten Patienten

Cited by 3 publications

References 17 publications

Health Related Quality Of Life Outcome After Operative Treatment Of Traumatic Vertebral Fractures In Geriatric Patients.

Health Related Quality Of Life Outcome After Operative Treatment Of Traumatic Vertebral Fractures In Geriatric Patients.

Die lumbale Spinalkanalstenose

Circumferential Fusion of the Lumbar and Lumbosacral Spine Using a Carbon Fiber ALIF Cage Implant Versus Autogenous Bone Graft: A Comparative Study

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