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Is 80 Too Old for Back Surgery?
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Posted on: 04/22/2005
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Narrowing of the spinal canal called spinal stenosis causing back and leg pain is a common problem in adults 65 and older. Pain can disable older adults and greatly reduce quality of life (QOL). Conservative treatment often doesn't help.
Surgery to remove bone pressing on the spinal nerves may be an effective option. This operation is called a laminectomy. But is it safe and effective for older adults? That's the question this study takes a look at.
Twenty-three (23) patients over the age of 80 were included in this study. All patients had at least one other health problem. Many patients had several other diseases or illnesses.
Success of the laminectomy was measured using pain levels, number of pain relievers, and QOL. Before the operation all patients were taking pain relievers every day. After the operation, 63 percent were drug-free. Only a small number remained regular users of analgesics for pain relief.
Everyone had relief from leg pain while walking. Some patients still had some back and leg pain, but most reported good pain relief. All patients were followed for at least two years. Improvements in pain, function, and QOL stayed the same during this time.
The authors conclude that laminectomy is safe and effective in adults aged 80 and older. Patients with stenosis at more than one level don't have as good of results. Future improvements in surgery may make it possible to treat all levels at the same time with good outcomes.
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References:
Klaus Galiano, MD, et al. Long-Term Outcome of Laminectomy for Spinal Stenosis in Octogenarians. In Spine. February 1, 2005. Vol. 30. No. 3. Pp. 332-335.
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*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. |
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