Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 23560
SIMULTANEOUS CERVICAL AND LUMBAR SURGERY FOR TANDEM SPINAL
STENOSIS IN ELDERLY PATIENTS
Hiromichi MISAWA, Takahiro TSUTSUMIMOTO, Hiroshi OHTA, Mutsuki YUI, Isao
YODA, Junichi MIZUTANI, Toshimasa FUTATSUGI
Spine Center, Yodakubo Hospital, Nagawa Town (JAPAN)
Introduction: Spinal stenosis is common in the elderly and sometimes involves the
cervical and lumbar spine as tandem spinal stenosis (TSS). Safety and outcomes of
simultaneous surgery for patients >70 years with symptomatic TSS were examined.
Methods: Subjects comprised 17 patients with TSS (TSS group; mean age, 75.9
years) who underwent cervical laminoplasty. In the lumbar spine, laminectomy (n=10)
and decompression with fusion (n=7) were performed. Operation time, blood loss,
Japanese Orthopaedic Association (JOA) score, grasp strength, 10-s finger flexionextension
test (10-s test), complications, hospitalization, use of analgesics,
hemoglobin, CPK and CRP levels were examined. Comparisons were made with 17
controls treated using cervical laminoplasty alone. Results: Mean operation time was
84.3 min (cervical) and 87.4 min (lumbar) for the TSS group and 98.4 min for controls
(ns). Mean blood loss was 240.4 g in the TSS group and 56.1 g in controls (p