TY - JOUR
T1 - The outcome of lumbar disc herniation surgery is worse in old adults than in young adults
T2 - A study of 14,090 individuals in the Swedish Spine Surgery Register (SweSpine)
AU - Strömqvist, Fredrik
AU - Strömqvist, Björn
AU - Jönsson, Bo
AU - Karlsson, Magnus K.
PY - 2016
Y1 - 2016
N2 - Background and purpose — The outcome of surgical treatment of lumbar disc herniation (LDH) has been thoroughly evaluated in middle-aged patients, but less so in elderly patients. Patients and methods — With validated patient-reported outcome measures (PROMs) and using SweSpine (the national Swedish Spine Surgery Register), we analyzed the preoperative clinical status of LDH patients and the 1-year postoperative outcome of LDH surgery performed over the period 2000–2012. We included 1,250 elderly patients (≥ 65 years of age) and 12,840 young and middle-aged patients (aged 20–64). Results — Generally speaking, elderly patients were referred for LDH surgery with worse PROM scores than young and middle-aged patients, they improved less by surgery, they experienced more complications, they had inferior 1-year postoperative PROM scores, and they were less satisfied with the outcome (with all differences being statistically significant). Interpretation — Elderly patients appear to have a worse postoperative outcome after LDH surgery than young and middle-aged patients, they are referred to surgery with inferior clinical status, and they improve less after the surgery.
AB - Background and purpose — The outcome of surgical treatment of lumbar disc herniation (LDH) has been thoroughly evaluated in middle-aged patients, but less so in elderly patients. Patients and methods — With validated patient-reported outcome measures (PROMs) and using SweSpine (the national Swedish Spine Surgery Register), we analyzed the preoperative clinical status of LDH patients and the 1-year postoperative outcome of LDH surgery performed over the period 2000–2012. We included 1,250 elderly patients (≥ 65 years of age) and 12,840 young and middle-aged patients (aged 20–64). Results — Generally speaking, elderly patients were referred for LDH surgery with worse PROM scores than young and middle-aged patients, they improved less by surgery, they experienced more complications, they had inferior 1-year postoperative PROM scores, and they were less satisfied with the outcome (with all differences being statistically significant). Interpretation — Elderly patients appear to have a worse postoperative outcome after LDH surgery than young and middle-aged patients, they are referred to surgery with inferior clinical status, and they improve less after the surgery.
UR - http://www.scopus.com/inward/record.url?scp=84978121141&partnerID=8YFLogxK
U2 - 10.1080/17453674.2016.1205173
DO - 10.1080/17453674.2016.1205173
M3 - Article
C2 - 27391663
AN - SCOPUS:84978121141
SN - 1745-3674
VL - 87
SP - 516
EP - 521
JO - Acta Orthopaedica
JF - Acta Orthopaedica
IS - 5
ER -