{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T16:11:57Z","timestamp":1792253517844,"version":"4.4.0"},"reference-count":21,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate whether surgery can improve lumbar spinal stenosis (LSS) to the same level as locomotive syndrome (LS) in the general older population and when surgery should be performed in LSS patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included patients aged \u2265\u200965\u2009years who underwent surgery for LSS. The healthy older group consisted of older adults aged \u2265\u200965\u2009years who underwent an LS test in a health examination. We compared the degree of LS and examined the background factors of patients who underwent surgery for LSS with and without improvement in post\u2010operative LS. We then determined the cutoff values using receiver operating characteristic curve analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was a significant difference in the distribution of LS stages between the post\u2010operative patient group and the healthy older adult group. Poor improvement in LS was significantly associated with female sex and low Prognostic Nutritional Index. The cutoff value for post\u2010operative LS less than Stage 2 was 37 points for the Geriatric Locomotive Function Scale\u201025 (GLFS\u201025) score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Surgery for LSS significantly improved LS, but not to the same stage as that in the healthy older group. The appropriate timing of surgery to maintain mobility and prevent LS progression was scored as 37 points on the GLFS\u201025.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70235","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T11:56:03Z","timestamp":1761220563000},"page":"1793-1798","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy of Surgery on Improvement of Locomotive Syndrome in Older Patients With Lumbar Spinal Stenosis: Comparison With the General Older Population"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0365-9551","authenticated-orcid":false,"given":"Takahiro","family":"Mui","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Nara Medical University  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Shigematsu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Nara Medical University  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Omiya City Clinic  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Sada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Nara Medical University  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachiko","family":"Kawasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Nara Medical University  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhito","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Nara Medical University  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-007-1202-6"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568218767430"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000953"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-008-1302-y"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2022.11.021"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2020.05.004"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181f92d8e"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/14397595.2016.1226471"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S201974"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.22603\/ssrr.2021-0046"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2020.03.021"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2020.02.019"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2019.03.017"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2480-9"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-020-06622-1"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12134345"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-011-0193-5"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2015.12.012"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/14397595.2021.1899890"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.10.055"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2018.08.004"}],"container-title":["Geriatrics &amp; 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