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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Bibliographic Details
Published 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
Main Authors: Clinchot, Daniel M., Kaplan, Paul E., Lamb, James F.
Format: Article
Language:English
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
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Summary: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.
ISSN:1079-5006
1758-535X
DOI:10.1093/gerona/53A.1.M72