Decompression surgery linked to reduced risk of falls

Decompression surgery linked to reduced risk of falls

(HealthDay)—Decompression surgery in patients with lumbar spinal stenosis cuts their risk of falls, compared to similar patients utilizing nonsurgical interventions, according to a study published in the July 2 issue of The Journal of Bone & Joint Surgery.

Byung Ho Lee, M.D., from Yonsei University in Seoul, South Korea, and colleagues assessed the effect of medical treatment and decompression on the risk of patients with falling. A surgery group (76 patients) and a nonoperative group (50 patients) were evaluated for risk of falling using four functional mobility tests: the Alternate-Step test, Six-Meter Walk test, Sit-to-Stand test, and timed "Up & Go" test.

The researchers found that the results of the Alternate-Step test significantly improved during the follow-up period in the surgery group (P = 0.001) and significantly worsened in the nonoperative group (P = 0.001). The surgery group also showed significant improvement for the Six-Meter Walk test one year postoperatively (P = 0.042) and for the timed "Up & Go" test at three months and one year (P = 0.046 and 0.000, respectively). Both groups showed improvement in the Oswestry Disability Index and the EuroQoL-5D visual analog scale scores. Age, surgery, and the presence of an osteoporotic compression fracture significantly affected the test results related to the risk of falling (P < 0.05).

"Improved physical performance, including walking and balancing, after decompression lumbar reduces the future risk of falling," the authors write.

More information: Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Pre-op pain patterns affect stenosis surgery outcomes

Mar 07, 2014

(HealthDay)—For patients with spinal stenosis without degenerative spondylolisthesis, predominance of back pain (BP) versus leg pain (LP) is associated with worse surgical outcomes, according to a study ...

Pre-op pregabalin best for pain in spinal surgery

Mar 28, 2014

(HealthDay)—Preoperative pregabalin is superior to either gabapentin or placebo for the relief of pain in patients undergoing lumbar discectomy, according to a study published in the March 15 issue of Spine.

Pre-op depression skews satisfaction after lumbar sx

Jun 04, 2013

(HealthDay)—Preoperative depression influences self-reported patient satisfaction after revision lumbar surgery, independent of the surgery's effectiveness, according to a study published in the May issue ...

Recommended for you

Breakthrough could prevent hip implant replacement

16 hours ago

Hip implants rely on the normal functioning of bone cells to achieve fixation of the implant with the bone. However, small metal particles released from hip implants, due to friction between the moving surfaces, ...

Ultrasound can accurately diagnose carpal tunnel

20 hours ago

(HealthDay)—Ultrasound can accurately confirm the diagnosis of carpal tunnel syndrome, according to a study published in the Sept. 3 issue of The Journal of Bone & Joint Surgery.

User comments