Lumbar Spinal Stenosis in an Elderly Patient
Background. The general population is aging, and lumbar stenosis is one of the more frequent conditions observed in an orthopedic or neurosurgical practice. Methods. This case presentation is of an 86-year-old male who developed lumbar spinal stenosis with a progressive neurologic deficit that cause...
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| Veröffentlicht in: | The journals of gerontology. Series A, Biological sciences and medical sciences Biological sciences and medical sciences, 1998-01, Vol.53A (1), p.M72-M76 |
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| container_end_page | M76 |
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| container_issue | 1 |
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| container_title | The journals of gerontology. Series A, Biological sciences and medical sciences |
| container_volume | 53A |
| creator | Clinchot, Daniel M. Kaplan, Paul E. Lamb, James F. |
| description | Background. The general population is aging, and lumbar stenosis is one of the more frequent conditions observed in an orthopedic or neurosurgical practice. Methods. This case presentation is of an 86-year-old male who developed lumbar spinal stenosis with a progressive neurologic deficit that caused severe leg pain, affected bladder function, and affected gait. Relevant medical literature is reviewed. Results. Bladder function and gait returned after spinal surgery, and this patient's pain was greatly reduced. A multidisciplinary team applied therapy after surgery. The medical literature does not concentrate solely upon patients older than 80, but a few are included in studies of younger patients. Conclusions. This case report illustrates that a patient over 80 can have a successful outcome with multidisciplinary medical coverage of medical, surgical, rehabilitative, social, and psychological areas. More studies need to be done of these patients. |
| doi_str_mv | 10.1093/gerona/53A.1.M72 |
| format | Article |
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The general population is aging, and lumbar stenosis is one of the more frequent conditions observed in an orthopedic or neurosurgical practice. Methods. This case presentation is of an 86-year-old male who developed lumbar spinal stenosis with a progressive neurologic deficit that caused severe leg pain, affected bladder function, and affected gait. Relevant medical literature is reviewed. Results. Bladder function and gait returned after spinal surgery, and this patient's pain was greatly reduced. A multidisciplinary team applied therapy after surgery. The medical literature does not concentrate solely upon patients older than 80, but a few are included in studies of younger patients. Conclusions. This case report illustrates that a patient over 80 can have a successful outcome with multidisciplinary medical coverage of medical, surgical, rehabilitative, social, and psychological areas. More studies need to be done of these patients.</description><identifier>ISSN: 1079-5006</identifier><identifier>EISSN: 1758-535X</identifier><identifier>DOI: 10.1093/gerona/53A.1.M72</identifier><identifier>PMID: 9467437</identifier><language>eng</language><publisher>United States: The Gerontological Society of America</publisher><subject>Aged ; Aged, 80 and over ; Gait ; Humans ; Laminectomy ; Leg ; Lumbar Vertebrae - surgery ; Male ; Medical disorders ; Muscle Weakness - etiology ; Older people ; Osteoarthritis - complications ; Pain - etiology ; Paresthesia - etiology ; Patient Care Team ; Spinal Diseases - complications ; Spinal Fractures - complications ; Spinal Osteophytosis - complications ; Spinal Stenosis - complications ; Spinal Stenosis - surgery ; Spine ; Spondylolisthesis - complications ; Spondylolisthesis - surgery ; Surgery ; Thoracic Vertebrae - injuries ; Treatment Outcome ; Urinary Bladder, Neurogenic - etiology ; Urinary Incontinence - etiology</subject><ispartof>The journals of gerontology. Series A, Biological sciences and medical sciences, 1998-01, Vol.53A (1), p.M72-M76</ispartof><rights>Copyright Gerontological Society of America, Incorporated Jan 1998</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-68e6153f38daf27c37eb8a6eeb5de9a766631e1058460353d34b522e9648c87e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9467437$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clinchot, Daniel M.</creatorcontrib><creatorcontrib>Kaplan, Paul E.</creatorcontrib><creatorcontrib>Lamb, James F.</creatorcontrib><title>Lumbar Spinal Stenosis in an Elderly Patient</title><title>The journals of gerontology. Series A, Biological sciences and medical sciences</title><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><description>Background. The general population is aging, and lumbar stenosis is one of the more frequent conditions observed in an orthopedic or neurosurgical practice. Methods. This case presentation is of an 86-year-old male who developed lumbar spinal stenosis with a progressive neurologic deficit that caused severe leg pain, affected bladder function, and affected gait. Relevant medical literature is reviewed. Results. Bladder function and gait returned after spinal surgery, and this patient's pain was greatly reduced. A multidisciplinary team applied therapy after surgery. The medical literature does not concentrate solely upon patients older than 80, but a few are included in studies of younger patients. Conclusions. This case report illustrates that a patient over 80 can have a successful outcome with multidisciplinary medical coverage of medical, surgical, rehabilitative, social, and psychological areas. More studies need to be done of these patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Gait</subject><subject>Humans</subject><subject>Laminectomy</subject><subject>Leg</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medical disorders</subject><subject>Muscle Weakness - etiology</subject><subject>Older people</subject><subject>Osteoarthritis - complications</subject><subject>Pain - etiology</subject><subject>Paresthesia - etiology</subject><subject>Patient Care Team</subject><subject>Spinal Diseases - complications</subject><subject>Spinal Fractures - complications</subject><subject>Spinal Osteophytosis - complications</subject><subject>Spinal Stenosis - complications</subject><subject>Spinal Stenosis - surgery</subject><subject>Spine</subject><subject>Spondylolisthesis - complications</subject><subject>Spondylolisthesis - surgery</subject><subject>Surgery</subject><subject>Thoracic Vertebrae - injuries</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder, Neurogenic - etiology</subject><subject>Urinary Incontinence - etiology</subject><issn>1079-5006</issn><issn>1758-535X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtLw0AQxxdRaq3evQjBgyfT7mazr2MptRXqA1q1eFk2yURS86i7Cdhvb0pKD85lBv4PmB9C1wQPCVZ09AW2Ks2I0fGQDJ9EcIL6RDDpM8rWp-2NhfIZxvwcXTi3wfthQQ_1VMhFSEUf3S-aIjLWW26z0uTesoaycpnzstIzpTfNE7D5zns1dQZlfYnOUpM7uDrsAXp7mK4mc3_xMnucjBd-HGJS-1wCJ4ymVCYmDURMBUTScICIJaCM4JxTAgQzGXJMGU1oGLEgAMVDGUsBdIDuut6trX4acLUuMhdDnpsSqsZpobjCSgWt8fafcVM1tn3E6QBLTgQlsjXhzhTbyjkLqd7arDB2pwnWe4q6o6hbiprolmIbuTn0NlEByTFwwNbqfqdnrobfo2zst-aCCqbn60-9-nieEfaONad_yUp7xQ</recordid><startdate>199801</startdate><enddate>199801</enddate><creator>Clinchot, Daniel M.</creator><creator>Kaplan, Paul E.</creator><creator>Lamb, James F.</creator><general>The Gerontological Society of America</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>199801</creationdate><title>Lumbar Spinal Stenosis in an Elderly Patient</title><author>Clinchot, Daniel M. ; Kaplan, Paul E. ; Lamb, James F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-68e6153f38daf27c37eb8a6eeb5de9a766631e1058460353d34b522e9648c87e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Gait</topic><topic>Humans</topic><topic>Laminectomy</topic><topic>Leg</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medical disorders</topic><topic>Muscle Weakness - etiology</topic><topic>Older people</topic><topic>Osteoarthritis - complications</topic><topic>Pain - etiology</topic><topic>Paresthesia - etiology</topic><topic>Patient Care Team</topic><topic>Spinal Diseases - complications</topic><topic>Spinal Fractures - complications</topic><topic>Spinal Osteophytosis - complications</topic><topic>Spinal Stenosis - complications</topic><topic>Spinal Stenosis - surgery</topic><topic>Spine</topic><topic>Spondylolisthesis - complications</topic><topic>Spondylolisthesis - surgery</topic><topic>Surgery</topic><topic>Thoracic Vertebrae - injuries</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder, Neurogenic - etiology</topic><topic>Urinary Incontinence - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clinchot, Daniel M.</creatorcontrib><creatorcontrib>Kaplan, Paul E.</creatorcontrib><creatorcontrib>Lamb, James F.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clinchot, Daniel M.</au><au>Kaplan, Paul E.</au><au>Lamb, James F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lumbar Spinal Stenosis in an Elderly Patient</atitle><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><date>1998-01</date><risdate>1998</risdate><volume>53A</volume><issue>1</issue><spage>M72</spage><epage>M76</epage><pages>M72-M76</pages><issn>1079-5006</issn><eissn>1758-535X</eissn><abstract>Background. The general population is aging, and lumbar stenosis is one of the more frequent conditions observed in an orthopedic or neurosurgical practice. Methods. This case presentation is of an 86-year-old male who developed lumbar spinal stenosis with a progressive neurologic deficit that caused severe leg pain, affected bladder function, and affected gait. Relevant medical literature is reviewed. Results. Bladder function and gait returned after spinal surgery, and this patient's pain was greatly reduced. A multidisciplinary team applied therapy after surgery. The medical literature does not concentrate solely upon patients older than 80, but a few are included in studies of younger patients. Conclusions. This case report illustrates that a patient over 80 can have a successful outcome with multidisciplinary medical coverage of medical, surgical, rehabilitative, social, and psychological areas. More studies need to be done of these patients.</abstract><cop>United States</cop><pub>The Gerontological Society of America</pub><pmid>9467437</pmid><doi>10.1093/gerona/53A.1.M72</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1079-5006 |
| ispartof | The journals of gerontology. Series A, Biological sciences and medical sciences, 1998-01, Vol.53A (1), p.M72-M76 |
| issn | 1079-5006 1758-535X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79690992 |
| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Aged Aged, 80 and over Gait Humans Laminectomy Leg Lumbar Vertebrae - surgery Male Medical disorders Muscle Weakness - etiology Older people Osteoarthritis - complications Pain - etiology Paresthesia - etiology Patient Care Team Spinal Diseases - complications Spinal Fractures - complications Spinal Osteophytosis - complications Spinal Stenosis - complications Spinal Stenosis - surgery Spine Spondylolisthesis - complications Spondylolisthesis - surgery Surgery Thoracic Vertebrae - injuries Treatment Outcome Urinary Bladder, Neurogenic - etiology Urinary Incontinence - etiology |
| title | Lumbar Spinal Stenosis in an Elderly Patient |
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