Post-Operative Complications in Patients Older than 60 Years Old with Lumbar Stenosis after Spinal Decompressive Surgery

Abstract

Background Data: Morbidity and mortality tend to increase with advancing in age, surgical interference and its outcome may be influenced by age. In elderly stenotic canal decompressive surgery outcome is affected by age. Purpose: To assess complications in patients older than 60 years old with lumbar canal stenosis after spinal decompressive surgery. Study Design: This is a retrospective clinical case study. Patients and Methods: All postoperative complications of patients with spinal canal stenosis older than 60 years old who went through spinal decompressive surgery were reviewed and evaluated using the Charlson Weighted Index. Fifty-five patients treated between 2004 and 2010 were evaluated for postoperative complications. Forty-five percent were women and fifty five percent were men. The follow-up period averaged 12 months. Results: Back pain was present preoperatively in 88%; after surgery, 43% experienced complete relief and 33% partial improvement while 24% with no improvement (Figure 4). Leg pain was present preoperatively in 98%; after surgery 43% experienced complete relief and 42% partial improvement. Wound complications and systemic complications, were demonstrated in 24 and 16 patients, respectively. There was no mortality. The number of laminectomy levels was not predictive of complications. Length of operative time (p=0.003) and the Charlson Weighted Comorbidity Index score (p=0.088) were associated with both systemic and wound complications denoting a predictive index for complications. Conclusion: Spinal decompressive surgery in patients older than age 60 years with stenotic canal can be safe with outcomes rates as in younger patients. The Charlson Weighted Comorbidity Index score and operative time were predictive of the risk of complications. (2013ESJ038)

Keywords

• Spinal decompression
• Lumbar stenosis
• complications