Predictors of improvement in quality of life and pain relief in lumbar spinal stenosis relative to patient age: a study based on the Spine Tango registry.

Sobottke, Rolf; Herren, Christian; Siewe, Jan; Mannion, Anne F; Röder, Christoph; Aghayev, Emin (2017). Predictors of improvement in quality of life and pain relief in lumbar spinal stenosis relative to patient age: a study based on the Spine Tango registry. European spine journal, 26(2), pp. 462-472. Springer 10.1007/s00586-015-4078-8

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BACKGROUND An open decompression is the most common treatment for lumbar spinal canal stenosis (LSS), even in the elderly. However, it is not clear whether the treatment outcome is age dependent. The main purpose of this study was to evaluate the improvement in quality of life (QoL) and pain relief, after open decompression for LSS in relation to patient age. METHODS The study was performed on the basis of Spine Tango registry data. The database query resulted in 4768 patients from 40 international Spine Tango centres. The patients were subdivided into three age groups: (1) 20-64, (2) 65-74, and (3) ≥75 years. In multivariate logistic regression models, predictors for improvement in QoL and achievement of the minimum clinically relevant change in pain of two points were analysed. RESULTS All groups benefited from significant improvement in QoL and back and leg pain relief. Age group had no significant influence on the outcomes. The preoperative status of each outcome was a predictor for its own postoperative outcome. Fewer previous surgeries, rigid or dynamic stabilization, and lower patient comorbidity also had a partially predictive influence for one or the other outcome. CONCLUSIONS Our results confirm that all age groups significantly benefit from the open decompressive treatment of LSS. Age group had no significant influence on any outcome.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Evaluative Research into Orthopaedic Surgery
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Röder, Christoph and Aghayev, Emin

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0940-6719

Publisher:

Springer

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

16 Jan 2018 13:14

Last Modified:

22 Jan 2018 09:29

Publisher DOI:

10.1007/s00586-015-4078-8

PubMed ID:

26138216

Uncontrolled Keywords:

Decompression Elderly Quality of life Registry Spinal stenosis Spine Tango

BORIS DOI:

10.7892/boris.109203

URI:

https://boris.unibe.ch/id/eprint/109203

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