Spine· 1987Q1
Lumbar Disc Herniation in the Elderly
- 45citations
- Q1SCImago
- 1987year
Short summary
Surgery for lumbar disc herniation in patients over 60 yields high success rates, with 87% achieving excellent or good results and no reoperations needed.
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Key points
- 87% of patients over 60 experienced excellent or good results after surgery for lumbar disc herniation.
- Sciatica was present in all 32 elderly patients studied.
- Motor deficit was observed in more than 50% of cases.
- No patients required reoperation, and no poor results were reported.
AI-generated from the title and abstract; the full text is not read.
Abstract
Thirty-two patients older than 60 years underwent surgical treatment for lumbar disc herniation over a 10-year period. Other causes of low-back pain and sciatica were investigated, and bony nerve root entrapment syndromes were not included. Sciatica was a predominant symptom and was present in all patients, with 81% showing positive nerve root tension signs. Motor deficit was found in more than half of the cases. A sequestrated disc was present in 50%. The follow-up ranged from 1 to 10 years with an average of 50 months. Eighty-seven percent of the patients had excellent or good results. There were no poor results and no one required reoperation. Lumbar disc herniation in the elderly is not a common problem, but surgery yields a high rate of satisfactory results if a proper investigation and correct diagnosis is obtained.
The authors' abstract, as published at the source. Spine, 1987 · DOI ↗
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Field: Pathology and Forensic Medicine
Pathology and Forensic MedicineMedicine