Surgical treatment for multilevel degenerative affection of lumbosacral spine in patients older than 60 years

The aim of investigation was to optimize the surgical treatment for multilevel degenera-tive-dystrophic affection of lumbosacral spinal column in aged and senile patients. Results of surgical treatment in 48 patients aged 60-83 years operated for multilevel degenerative affection of lumbosacral spinal column are presented. Lumbar stenosis predominated in 34 cases, degenerative spondylolisthesis - in 9 cases. Degenerative scoliosis was revealed in 5 patients. Depending on the direction of compressive factor and presence of degenerative instability all patients underwent various types of decompressive-stabilizing operations. Evaluation of surgical treatment results was carried out using Visual analog scale and Oswestry Disability Index (ODI) inventory. Significant improve of live quality due to decrease of pain and increase of day-to-day activity was revealed in aged patients. Maximal observation period was 36 months.