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- Talk
- 22/09/2022
- UK
Morbidity and Mortality Following Posterior Lumbar Decompression in Octogenarians and Nonagenarians
Description
The presentation by Prateek Saxena, a Fellow at University Hospitals of Derby and Burton, discusses the challenges and outcomes of treating elderly patients over the age of 80 and 90 with degenerative spinal stenosis through posterior lumbar decompression surgery without stabilization. Highlighting the growing elderly population in the UK, Prateek emphasizes the unique medical complexities this demographic presents.
In a retrospective study covering 166 elective admissions from 2016 to 2020, the research aimed to assess morbidity and mortality rates post-surgery. Key findings included a majority experience of low complication rates (only 17 patients had complications), with no recorded mortality within 30 days of surgery. Significant improvements in clinical outcomes, with over 75% reporting enhanced mobility or pain relief six months post-operation, were noted. The study also found that most patients could return home within 72 hours, demonstrating the procedure's efficacy and safety.
Prateek concludes that the operation provides a favorable balance of low morbidity, low mortality, and significant improvement in quality of life for elderly patients, recommending careful patient optimization to further minimize risks. The session ends with applause, indicating the audience's appreciation for the insights presented.