| Comparative Study between Surgery and Neurointerventional Treatment of Lumbar Spinal Degenerative Disorders in Patients Aged Over 75 Years |
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Sang-In Yoon , Jang-Bo Lee , Jung-Yul Park |
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Department of Neurosurgery, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea |
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| Abstract |
Objective
Differences between the clinical outcomes from surgery and neurointerventional treatments for lumbar degenerative disorders in patients aged over 75 years were analyzed.
Methods
Of 50 patients aged over 75 years with lumbar degenerative disorders in whom conservative treatments were ineffective, 25 underwent lumbar fusion and 25 received radiofrequency treatment following nerve blocks. All were monitored for over 12 months. Patients who underwent more than 4 levels of operation and reoperation were excluded. Visual Analog Scale (VAS) and Oswestry disability index (ODI) scores before surgery and at the final follow‐up as well as postoperative complications were reviewed and comparatively analyzed.
Results
Pre- and postoperative VAS and ODI results showed no statistically significant differences between two groups. Although there was no statistical difference on incidence of early major complications between two groups, there were more minor complications in surgery group with statistical significance.
Conclusion
Although the patients with degenerative spinal disorders aged over 75 years who are refractory to conservative treatment and are thus eligible for lumbar fusion surgery, neurointerventional treatments may first be considered for at least 1-year period. |
| Key Words:
Old age, Radiofrequency treatment, Lumbar fusion, Complication, Clinical outcome |
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