Behrbalk Eyal, Uri Ofir, Masarwa Rawan, Alfandari Liad, Fatal Shifra, Folman Yoram
Spine Surgery Unit, Orthopedic Department, Hillel Yaffe Medical Center, Hadera, Israel.
Geriatr Orthop Surg Rehabil. 2021 Dec 24;12:21514593211066732. doi: 10.1177/21514593211066732. eCollection 2021.
Lumbar discectomy is a common and effective treatment for symptomatic disk herniation. It has been suggested that lumbar discectomy in older patients may result in poorer clinical outcomes and lesser satisfaction. The purpose of this study was to assess age-related difference in patient reported outcomes of patients undergoing lumbar discectomy for chronic low back and radicular pain.
Patients with chronic lumbar radiculopathy without neurological deficit underwent non-urgent single level lumbar discectomy in our institution between 2014 and 2017. Pain level (using VAS score), Oswestry Disability Index, and SF-12 scores were retrospectively reviewed and compared between younger patients (<60 years, group 1) and older patients (>60 years, group 2).
Seventy-three patients, aged between 34-76 years participated in this study. VAS, ODI, and SF-12 scores improved significantly after the surgery for each group ( < .01). When comparing between the groups, no significant differences in the outcomes measured were found after the surgery in both early post-operative follow-up and late post-operative follow-up ( > .05).
Elderly patients undergoing lumbar discectomy report a significant reduction in VAS, ODI, and SF-12 scores justifying the procedure.
Lumbar discectomy improved function and decreased pain level to similar extent in both younger and older patients suffering from radicular symptoms related to lumbar disc herniation.
腰椎间盘切除术是治疗有症状椎间盘突出症的一种常见且有效的方法。有人提出，老年患者进行腰椎间盘切除术可能会导致较差的临床结果和较低的满意度。本研究的目的是评估因慢性下腰痛和神经根性疼痛接受腰椎间盘切除术的患者报告结局中与年龄相关的差异。
2014年至2017年期间，在我们机构中，无神经功能缺损的慢性腰椎神经根病患者接受了非急诊单节段腰椎间盘切除术。回顾性分析并比较了年轻患者（<60岁，第1组）和老年患者（>60岁，第2组）的疼痛程度（采用视觉模拟评分法）、Oswestry功能障碍指数和SF-12评分。
73例年龄在34 - 76岁之间的患者参与了本研究。每组患者术后视觉模拟评分、Oswestry功能障碍指数和SF-12评分均有显著改善（P <.01）。在两组之间进行比较时，术后早期随访和晚期随访中测量的结局均未发现显著差异（P >.05）。
接受腰椎间盘切除术的老年患者报告视觉模拟评分、Oswestry功能障碍指数和SF-12评分显著降低，证明该手术是合理的。
腰椎间盘切除术在患有与腰椎间盘突出症相关神经根症状的年轻和老年患者中，在改善功能和降低疼痛程度方面的效果相似。
