ArticleActa orthopaedica2016
The outcome of lumbar disc herniation surgery is worse in old adults than in young adults.
Article in Acta orthopaedica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Clinical performance of a bone-anchored annular closure device in older adults.Clinical interventions in aging · 2019Trial
- Article
- Article
- The effectiveness of chemonucleolysis with condoliase for lumbar disc herniation in elderly patients over 70 years old.Neurosurgical review · 2026Article
- Efficacy of Chemonucleolysis with Condoliase for Lumbar Disc Herniation in Elderly Patients Over 70 Years of Age.Spine surgery and related research · 2026Article
- Injury Induces More Severe Biomechanical Changes in Middle-Aged and Geriatric Lumbar Spines in a Mouse Ex Vivo Model.JOR spine · 2025Article
- Real-world treatment patterns and management gaps of lumbar disc herniation in the United States.North American Spine Society journal · 2025Article
- Age-specific Comparative Clinical Outcomes of Chemonucleolysis with Condoliase versus Microendoscopic Discectomy in Patients with Lumbar Disc Herniation.Spine surgery and related research · 2025Article
- Construct validation of the Japanese Core Outcome Measures Index and the impact of diseases on patient-reported outcome measures in preoperative patients with lumbar spinal stenosis and disk herniation: a single-center observational study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Observational
- Percutaneous Endoscopic Transforaminal Discectomy for the Treatment of Lumbar Disc Herniation with Different Migration Levels: A Retrospective Study.Journal of pain research · 2024Article
- Back pain and radicular pain after lumbar microdiscectomy.BMC surgery · 2023Article
- Accuracy of Coronal Magnetic Resonance Imaging Diagnosis of Multi-Segmental Lumbar Disc Herniation: A Single-Center Retrospective Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- The Essence of Clinical Practice Guidelines for Lumbar Disc Herniation, 2021: 5. Prognosis.Spine surgery and related research · 2022Article
- Risk factors for lumbar disc herniation in adolescents and young adults: A case-control study.Frontiers in surgery · 2022Article
- Back pain is also improved by lumbar disc herniation surgery.Acta orthopaedica · 2021Article
- Age-related Differences in Clinical Outcomes of Lumbar Discectomy.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- The impact of obesity and smoking on young individuals suffering from lumbar disc herniation: a retrospective analysis of 97 cases.Neurosurgical review · 2020Article
- Predictors of satisfaction after lumbar disc herniation surgery in elderly.BMC musculoskeletal disorders · 2019Article
- Anxiety and its predictive value for pain and regular analgesic intake after lumbar disc surgery - a prospective observational longitudinal study.BMC psychiatry · 2018Observational
- Predictors of the outcome of lumbar disc herniation following classical surgery : Laminotomy with discectomy.Der Orthopade · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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