Elderly patients with posterior lumbar interbody fusion analysis of 40 cases.docVIP

 PAGE \* MERGEFORMAT 18 Elderly patients with posterior lumbar interbody fusion analysis of 40 cases Of: Wang Yuntao Wuxiao Tao Chen Hui Xin Wang Hong Li Yonggang Chen [Abstract] Objective To investigate the posterior lumbar interbody fusion (PLIF) in elderly patients with perioperative characteristics and clinical efficacy. Methods A retrospective analysis from January 2004 to September 2006 conducted 107 cases of PLIF surgery, in which elderly group (gt; = 65 years) 40 cases, the young group (lt;65 years) of 67 cases. follow-up time of 13 to 37 months, an average of 19.6 months. Comparison of preoperative complications, the American Society of Anesthesiologists (ASA) classification; comparison blood loss, postoperative drainage, intraoperative and postoperative allogeneic blood input, operation time and postoperative hospital stay; contrast low back pain visual analog pain score (VAS) and the Japanese Orthopaedic Association (JOA) score for low back pain; observed concurrent the incidence of disease and postoperative intervertebral fusion. Results elderly preoperative ASA grade disease (P = 0.001), medical complications (P = 0.02) with the young group were statistically significant. operative time, blood loss the amount of postoperative drainage, intraoperative and postoperative allogeneic blood input, low back pain VAS, after good rate, interbody fusion rate, complication rate was no significant difference between the two groups (Pgt; 0.05). older Group complication rate was 20.0% (8 cases), which has a complication rate of complications in patients with and without complications was no significant difference between patients (Pgt; 0.05). Conclusion The integration of senior citizens is not a contraindication to internal fixation ; old age, although increase surgical risk, but multidisciplinary collaboration, and promptly correct perioperative pathological state can be safely perioperative period, and can get a good bone fusion and nerve function impro