Home spine school news faqs discussions site map search home value of lumbar spinal fusion in older adults posted april 30th, 2009 by matt in spine lumbar back pain from degenerative disc disease can be very disabling for older adults. viagra viagra en viagra In this study, orthopedic surgeons show how a simple spinal fusion can make a big difference. The surgeons fused a single spinal level of 224 patients and then followed them for two years to see the results. does viagra make u last longer The group was divided into two groups by age. Anyone younger than 65 years was in the first group. viagra samples Patients 65 years old and older were in the second group. Medicare has asked for more proof that spinal arthrodesis (fusion) in older adults really helps. lowest price on generic viagra Until now, most of the studies reported on younger adults. And age could make a difference. We can't just assume that the results of this procedure in younger adults would be the same in older adults. An advisory committee from the centers for medicare and medicaid services asked for conclusive evidence to support the use of spinal fusion in patients 65 years of age or older. This age-group includes the medicare population. The operation performed was a single-level posterolateral lumbar arthrodesis with iliac crest bone graft. viagra prescription cost uk Posterolateral refers to the direction (back and side) that the fusion was done. Iliac crest bone graft comes from the top of the pelvic bone. viagra pills Instrumentation (rod and screws) were used to hold the segment stable until bone filled in around the bone graft. viagra cost The spinal level fused was slightly different between the two groups. The older patients' fusion was in the l345 region. The younger patients were more likely to have a fusion at the l5-s1 level. In general, the patients in each group were very similar (e. G. , education, occupation, alcohol use, general health) except for age. Men and women were included. The main differences were that the younger patients rated their pain higher. viagra viagra en viagra They were more likely to still be working and a worker's compensation claim. viagra for sale And the older patients were more likely to have advanced spine degeneration with bone spurs, thickened spinal ligaments, and facet (spine) joint degeneration. Results were measured using several well-known research tools. These included the oswestry disability index (odi), the medical outcomes study sf-36, and the numeric rating scale for back and leg pain. X-rays and ct scans were also used to look at the fusion site and see if it was successful or not. These imaging studies showed the presence of bone bridging the vertebral segment (a sign of successful fusion) and any cracks in the bone (a sign of weakness or instability). Everyone in both groups had significant improvements in their test scores. But the older group demonstrated a larger change in scores indicating greater improvement compared to the younger patients. ordering generic viagra in canada Complications in the early postoperative period (first 30 days) were higher among the older adults. Half of th.
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