Journal of Nippon Medical School: Vol.68 No.1 page.050

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ArticleTitle Surgical Results of Lumbar Disc Herniation in the Elderly

AuthorList Yoshikazu Gembun, Yoshihito Nakayama, Yasumasa Shirai, Masabumi Miyamoto, Yasuyuki Kitagawa and Takasi Yamada

Affiliation Department of Orthopaedic Surgery, Nippon Medical School

Language EN

Volume 68

Issue 1

Year 2001

Page 50-53

Received July 27, 2000

Accepted September 13, 2000

Keywords clinical results, lumbar disc herniation, the elderly

Abstract We investigated the surgical results of lumbar disc herniation in the elderly. Ten elderly patients underwent surgical treatment between 1990 and 1999. There were 7 males and 3 females with a mean age of 68.2 years (range: 60~85 years). Thirteen patients in their 20s and 30s were used as a control. Preoperatively, severe leg pain and gait disturbance, and higher rates of negative straight leg-raising were shown in the elderly group. Higher levels of herniation and higher graded disc degeneration were shown compared with the young. The mean total of the Japanese Orthopedic Association score in the elderly group improved from 5.1 points to 13.1 points postoperatively, and that in the young group improved from 6.9 points to 14.5 points. The recovery rate was 82.6% in the elderly group and 94.3% in the young group. Postoperatively, the recovery of gait disturbance in the elderly group tended to be poor compared with the young group. The elderly patients would not tolerate bed rest and would often do poorly if kept recumbent and in pain for long periods of time. Satisfactory results are being sought with regard to the operative management of lumbar disc herniation in the elderly.

Correspondence to Yoshikazu Gembun, Department of Orthopeadic Surgery, Nippon Medical School, 1-1-5, Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan

ArticleTitle	Surgical Results of Lumbar Disc Herniation in the Elderly
AuthorList	Yoshikazu Gembun, Yoshihito Nakayama, Yasumasa Shirai, Masabumi Miyamoto, Yasuyuki Kitagawa and Takasi Yamada
Affiliation	Department of Orthopaedic Surgery, Nippon Medical School
Language	EN
Volume	68
Issue	1
Year	2001
Page	50-53
Received	July 27, 2000
Accepted	September 13, 2000
Keywords	clinical results, lumbar disc herniation, the elderly
Abstract	We investigated the surgical results of lumbar disc herniation in the elderly. Ten elderly patients underwent surgical treatment between 1990 and 1999. There were 7 males and 3 females with a mean age of 68.2 years (range: 60~85 years). Thirteen patients in their 20s and 30s were used as a control. Preoperatively, severe leg pain and gait disturbance, and higher rates of negative straight leg-raising were shown in the elderly group. Higher levels of herniation and higher graded disc degeneration were shown compared with the young. The mean total of the Japanese Orthopedic Association score in the elderly group improved from 5.1 points to 13.1 points postoperatively, and that in the young group improved from 6.9 points to 14.5 points. The recovery rate was 82.6% in the elderly group and 94.3% in the young group. Postoperatively, the recovery of gait disturbance in the elderly group tended to be poor compared with the young group. The elderly patients would not tolerate bed rest and would often do poorly if kept recumbent and in pain for long periods of time. Satisfactory results are being sought with regard to the operative management of lumbar disc herniation in the elderly.
Correspondence to	Yoshikazu Gembun, Department of Orthopeadic Surgery, Nippon Medical School, 1-1-5, Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan