The preoperative predictors of satisfaction with percutaneous foraminal endoscopic decompression in elderly patients over 80 years old with degenerative lumbar spinal stenosis
The preoperative predictors of satisfaction with percutaneous foraminal endoscopic decompression in elderly patients over 80 years old with degenerative lumbar spinal stenosis
Objective To explore the preoperative predictors of satisfaction with Intervertebral foramen endoscopic surgery in pa-tients over 80 years old with degenerative lumbar spinal stenosis(DLSS).Methods A total of 126 elderly patients with DLSS who underwent lumbar decompression in our hospital from January 2017 to December 2019 were selected as the research objects.According to the patients'satisfaction with the operation 12 months after operation,the patients were divided into the satisfaction group(S group,87 cases,accounting for 69.05%)and the dissatisfaction group(NS group,39 cases,accounting for30.95%).The differences in clinical data between the two groups were observed,and the independent risk factors influencing patient satisfaction were observed by multivariate logistic analysis.Results There was no significant difference between the two groups in gender,diabetes,hypertension,ASA grade,alcohol consumption,degree I lumbar spondylolisthesis,and operation time(P＞0.05);the proportion of age,body mass index,smoking,and the proportion of lumbar scoliosis in the NS group was significantly higher than that in the S group(P＜0.05).Twelve months after surgery,the JOA score,SF-8 physiological dimension score,and SF-8 psychological dimension score in the S group were significantly higher than those in the NS group,while the VAS scores for low back pain and leg pain were significantly lower than those in the NS group(P＜0.05).A binary multivariate logistic regression analysis showed that smoking and mild lumbar scoliosis(≤15°)were preoperative predictive factors affecting surgical satisfaction(P＜0.05).Conclusion Smoking and mild scoliosis are associated with decreased satisfaction after DLSS in elderly patients(≥80 years old).
维普
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