Department of Orthopedic Surgery and Traumatology, Hospital del Mar, Parc de Salud MAR, PasseigMaritim 25-27, 08003, Barcelona, Spain,
Eur Spine J. 2014 May;23(5):1007-12. doi: 10.1007/s00586-014-3178-1. Epub 2014 Jan 24.
The purpose of this study was to evaluate and compare disability, quality of life and satisfaction outcomes between young people and elderly who were operated on for degenerative lumbar disease.
A database of 263 patients undergoing lumbar surgery for degenerative conditions was collected. There were 74 patients who were 65 years old or above and 189 who were below 65 who had complete preoperative and 2-year postoperative HRQOL data measures: ODI, SF-36 and COMI.
There were no significant differences in the outcomes between the two age groups (p > 0.05). An improvement from baseline in all quality of life measures in the two age groups was observed. A median improvement of 6.0 points was found in the ODI in the younger patients versus 12.0 in older ones. A median improvement in the SF36 physical component score of 6.95 was seen in the younger group while improvement was reported at 6.36 points in patients over 65. The SF36 mental component score improved by 4.48 points and 4.96 points, respectively. COMI improved a median of 1.2 points in both groups. In terms of satisfaction, 66.9 % of the younger patients were pleased or very pleased whereas this was found to be 59.7 % for the older group.
Older patients can see substantial clinical improvement after degenerative lumbar disease surgery similar to that obtained in younger patients in terms of quality of life and satisfaction. The improvement in terms of the disability is greater for older patients. Thus, age should not be a contraindication for this procedure.
本研究旨在评估和比较因退行性腰椎疾病接受手术的年轻人和老年人的残疾、生活质量和满意度结果。
收集了 263 例退行性腰椎疾病患者的数据库。其中有 74 例患者年龄在 65 岁或以上，189 例患者年龄在 65 岁以下，他们具有完整的术前和 2 年术后 HRQOL 数据测量：ODI、SF-36 和 COMI。
两组之间的结果没有显著差异（p>0.05）。在两个年龄组中，所有生活质量测量都从基线开始有所改善。年轻患者的 ODI 中位数改善了 6.0 分，而老年患者的 ODI 中位数改善了 12.0 分。年轻组 SF36 生理成分评分中位数改善 6.95 分，而 65 岁以上患者的改善程度为 6.36 分。SF36 心理成分评分分别提高了 4.48 点和 4.96 点。COMI 在两组中均改善了中位数 1.2 分。在满意度方面，66.9%的年轻患者感到满意或非常满意，而老年组的这一比例为 59.7%。
退行性腰椎疾病手术后，老年患者在生活质量和满意度方面可以获得与年轻患者相似的显著临床改善。老年患者的残疾改善程度更大。因此，年龄不应成为该手术的禁忌症。
