BACKGROUND: Lumbar spinal stenosis can cause symptomatic @entity613 alongside @entity158 and @entity425 . In appropriately selected @entity1 , surgical intervention has been demonstrated to provide for improvement in @entity158 , disability, and quality of life. This systematic review sought to define the utility and safety of such decompression with or without arthrodesis in the management of symptomatic @entity2649 for elderly @entity1 older than 65 years of age. METHODS: A systematic review was conducted using MEDLINE for literature published through December 2014. The first question focused on the effectiveness of lumbar spinal surgery for symptomatic @entity2649 in elderly @entity1 (over age 65 y). The second question focused on safety of surgical intervention on this elderly population with emphasis on perioperative complication rates. RESULTS: Review of 11 studies reveals that the majority of elderly @entity1 exhibit significant symptomatic improvement, with overall benefits observed for @entity158 (change visual analog scale 4.4 points) and disability (change Oswestry Disability Index 23 points). Review of 11 studies reveals that perioperative complications were infrequent and acceptable with pooled estimates of mortality (0.5%), inadvertent durotomy (5%), and wound @entity281 (2%). Outcomes seem less favorable with greater complication rates among @entity1 with @entity6 or @entity28 . CONCLUSION: Based on largely low-quality, retrospective evidence, we recommend that elderly @entity1 should not be excluded from surgical intervention for symptomatic @entity2649 .

Management of XXXX in the Elderly.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obesity'] @entity2649 :: ('MESH:C563613', 'Disease') :: ['lumbar spinal stenosis'] @entity425 :: ('MESH:D018908', 'Disease') :: ['weakness'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity613 :: ('MESH:D007383', 'Disease') :: ['neurogenic claudication'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'radicular pain']
@entity2649 :: (MESH:C563613,Disease) :: ['Degenerative Lumbar Spinal Stenosis']
