Mauersberger W, Nietgen T
Neurosurgical Clinic, University Hospital, Bonn, West Germany.
Neurosurg Rev. 1989;12(4):291-5. doi: 10.1007/BF01780842.
Lumbar stenosis is a disease of the elderly which is due, in the majority of cases, to degenerative changes. This disease causes considerable disability which cannot be ameliorated well by conservative treatment. Surgery is usually the treatment of choice, although long-term results have been reported in only a few publications. We attempted a reevaluation of our patients one to seven years after intervention. Overall results indicate that about 80% of our patients benefited from surgery in varying degrees. Only 10% showed post-operative deterioration. One third of operated cases achieved complete working or functional capacity, while in the remaining cases disability persisted. Since long-term results are similar in patients over and under 65 years of age, intervention is recommended even in the older patient if his general condition is good enough to allow surgery.
腰椎管狭窄症是一种多见于老年人的疾病，在大多数情况下是由退行性变引起的。这种疾病会导致严重的残疾，保守治疗难以有效改善。手术通常是首选的治疗方法，不过仅有少数出版物报道了其长期疗效。我们尝试在干预一至七年之后对患者进行重新评估。总体结果表明，约80%的患者在不同程度上从手术中获益。只有10%的患者术后病情恶化。三分之一的手术病例恢复了完全的工作或功能能力，而其余病例仍存在残疾。由于65岁以上和65岁以下患者的长期疗效相似，因此如果老年患者的一般状况足以承受手术，即使是老年患者也建议进行干预。
