Journal of Korean Neurosurgical Society
- 제29권12호
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- Pages.1612-1619
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- 2000
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
노령인구의 요추질환에 대한 수술적 치료결과의 분석
The Analysis of Surgical Results to the Lumbar Spinal Disorders of Aged Persons
- 이세영 (건국대학교 의료원 민중병원 신경외과학교실) ;
- 윤승환 (건국대학교 의료원 민중병원 신경외과학교실) ;
- 조준 (건국대학교 의료원 민중병원 신경외과학교실) ;
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문창택
(건국대학교 의료원 민중병원 신경외과학교실) ;
- 장상근 (건국대학교 의료원 민중병원 신경외과학교실)
- Lee, Sei-Young (Department of Neurosurgery, Konkuk University Medical Center Minjoong Hospital) ;
- Youn, Seung-Hwan (Department of Neurosurgery, Konkuk University Medical Center Minjoong Hospital) ;
- Cho, Joon (Department of Neurosurgery, Konkuk University Medical Center Minjoong Hospital) ;
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Moon, Chang-Taek
(Department of Neurosurgery, Konkuk University Medical Center Minjoong Hospital) ;
- Chang, Sang-Keun (Department of Neurosurgery, Konkuk University Medical Center Minjoong Hospital)
- 투고 : 2000.07.03
- 심사 : 2000.09.18
- 발행 : 2000.12.28
초록
Objective : To retrospectively analyse the surgical outcome and efficacy of the lumbar spinal surgery in sixty to older patients who failed to conservative treatments. Methods : Between July 1990 and November 1996, the authors retrospectively investigated the medical records of 46 patients who over 60 years of age at the time of surgery. The clinical severity was assessed with Prolo's grade(economic and functional). Questionnaire was sent to each patient regarding long-term effect, satisfaction, and side effects. Results : In 46 patients, 2 patients(1 case died of lung cancer, 1 case lost in follow-up) were lost. Among 44 patients (28 men, 16 women ; mean age 64 years), 22 patients underwent partial or total laminectomy, 17 spinal fusion with instruments, 2 chemonucleolysis, 2 adhesiolysis for failed back surgery syndrome, and 1 automated percutaneous lumbar discectomy. Although postoperative complications were observed in 5 patients, they were successfully managed. No deaths were documented in the perioperative periods. The average Prolo's economic and functional grade improved from 2.98 to 3.48 and 2.81 to 3.75, respectively. Conclusion : In overall, the favorable surgical outcome was obtained. This results indicated that with appropriate preoperative selections and indications, careful intraoperative monitoring, and attentive postoperative care, the surgical treatment of eldery patients for the lumbar spinal disorders, significant improvement with acceptable levels of morbidity and mortality can be achived.