{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:24:25Z","timestamp":1790738665685,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,9,9]],"date-time":"2016-09-09T00:00:00Z","timestamp":1473379200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"University of Northern Norway"},{"name":"Norwegian Health Authorities"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,10]]},"abstract":"\n Objectives<\/jats:title>\n \n To compare clinical outcomes after decompressive surgery for central lumbar spinal stenosis (\n LSS<\/jats:styled-content>\n ) in individuals aged 80 and older with those of individuals aged 18\u201379.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Prospective data from the Norwegian Registry for Spine Surgery.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Multicenter observational study.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Individuals with central\n LSS<\/jats:styled-content>\n undergoing surgery at 36 orthopedic or neurosurgical departments (N = 1,503; 1,325 aged <80 (median 66, range 21\u201379); 178 aged \u226580 (median 82, range 80\u201395)).\n <\/jats:p>\n <\/jats:sec>\n \n Intervention<\/jats:title>\n Laminectomy or microdecompression.<\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Changes in Oswestry Disability Index (\n ODI<\/jats:styled-content>\n ), EuroQol 5D (\n EQ<\/jats:styled-content>\n \u20105D), back pain numerical rating scale (\n NRS<\/jats:styled-content>\n ), and leg pain\n NRS<\/jats:styled-content>\n at 1 year. Complications and duration of surgical procedures and hospital stays are reported.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n For all participants, there was a significant improvement in\n ODI<\/jats:styled-content>\n (difference 16.60 points, 95% confidence interval (\n CI<\/jats:styled-content>\n ) = 15.59\u201317.61,\n P<\/jats:italic>\n < .001). There were no differences between age cohorts in mean changes in\n ODI<\/jats:styled-content>\n (0.2, 95%\n CI<\/jats:styled-content>\n = \u22123.05\u20133.39,\n P<\/jats:italic>\n = .92),\n EQ<\/jats:styled-content>\n \u20105D (0.02, 95%\n CI<\/jats:styled-content>\n = \u22120.04\u20130.09,\n P<\/jats:italic>\n = .49), back pain\n NRS<\/jats:styled-content>\n (\u22120.2, 95%\n CI<\/jats:styled-content>\n = \u22120.7\u20130.4,\n P<\/jats:italic>\n = .56), or leg pain\n NRS<\/jats:styled-content>\n (\u22120.1, 95%\n CI<\/jats:styled-content>\n = \u22120.7\u20130.5),\n P<\/jats:italic>\n = .77). There were no differences in perioperative complications between age cohorts (4.9% vs 7.9%,\n P<\/jats:italic>\n = .11). Participants aged 80 and older reported more complications occurring within 3 months (11.8% vs 7.5%,\n P<\/jats:italic>\n = .02), mainly because of more urinary tract infections (9.6% vs 3.5%,\n P<\/jats:italic>\n = .001). Mean duration of hospital stays was 1.3 days longer for participants aged 80 and (4.5 vs 3.2 days,\n P<\/jats:italic>\n < .001). There were no differences in duration of single\u2010level microdecompression (\n P<\/jats:italic>\n = .94), two\u2010level microdecompression (\n P<\/jats:italic>\n = .53), single\u2010level laminectomy (\n P<\/jats:italic>\n = .78), or two\u2010level laminectomy (\n P<\/jats:italic>\n = .08).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Individuals aged 80 and older experience improvement in self\u2010reported outcomes similar to those of younger individuals after decompressive surgery for\n LSS<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.14311","type":"journal-article","created":{"date-parts":[[2016,9,9]],"date-time":"2016-09-09T14:27:31Z","timestamp":1473431251000},"page":"2011-2018","source":"Crossref","is-referenced-by-count":35,"title":["Surgery for Lumbar Spinal Stenosis in Individuals Aged 80 and Older: A Multicenter Observational Study"],"prefix":"10.1111","volume":"64","author":[{"given":"Charalampis","family":"Giannadakis","sequence":"first","affiliation":[{"name":"Department of Neurosurgery St. Olavs University Hospital Trondheim Norway"},{"name":"Department of Neuroscience Norwegian University of Science and Technology Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ole","family":"Solheim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery St. Olavs University Hospital Trondheim Norway"},{"name":"Department of Neuroscience Norwegian University of Science and Technology Trondheim Norway"},{"name":"National Competence Center for Ultrasound and Image Guided Therapy St. Olavs University Hospital Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asgeir S.","family":"Jakola","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery St. Olavs University Hospital Trondheim Norway"},{"name":"Department of Neurosurgery Sahlgrenska University Hospital Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trond","family":"Nordseth","sequence":"additional","affiliation":[{"name":"Department of Anesthesia St. Olavs University Hospital Trondheim Norway"},{"name":"Department of Circulation and Medical Imaging Norwegian University of Science and Technology Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnete M.","family":"Gulati","sequence":"additional","affiliation":[{"name":"Department of Neuroscience Norwegian University of Science and Technology Trondheim Norway"},{"name":"Department of Rheumatology St. Olavs University Hospital Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf S.","family":"Nerland","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery St. Olavs University Hospital Trondheim Norway"},{"name":"Department of Neuroscience Norwegian University of Science and Technology Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d8ystein P.","family":"Nygaard","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery St. Olavs University Hospital Trondheim Norway"},{"name":"Department of Neuroscience Norwegian University of Science and Technology Trondheim Norway"},{"name":"National Advisory Unit on Spinal Surgery Center for Spinal Disorders St. Olavs University Hospital Trondheim Norway"},{"name":"Norwegian National Registry for Spine Surgery University Hospital of Northern Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tore K.","family":"Solberg","sequence":"additional","affiliation":[{"name":"Norwegian National Registry for Spine Surgery University Hospital of Northern Norway Troms\u00f8 Norway"},{"name":"Department of Neurosurgery University Hospital of Northern Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha","family":"Gulati","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery St. Olavs University Hospital Trondheim Norway"},{"name":"Department of Neuroscience Norwegian University of Science and Technology Trondheim Norway"},{"name":"National Advisory Unit on Spinal Surgery Center for Spinal Disorders St. Olavs University Hospital Trondheim Norway"},{"name":"Norwegian Centre of Competence in Deep Brain Stimulation for Movement Disorders St. Olavs University Hospital Trondheim 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