{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T17:43:48Z","timestamp":1761155028559},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2007,4,18]],"date-time":"2007-04-18T00:00:00Z","timestamp":1176854400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Annals of the New York Academy of Sciences"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:p><jats:bold><jats:sc>Abstract<\/jats:sc>:\u2002<\/jats:bold>  <jats:bold>Over a 3\u2010year period in our clinic, surgeons operated on 32 persons over 65 years old with lumbar spinal stenosis. This article presents the retrospective analysis of the clinical, radiological, and short\u2010term surgical outcomes. The stenosis seen most commonly among the elderly develops focally at the intervertebral junctions as a result of a complex process of disc degeneration, facet arthropathy, ligamentum flavum hypertrophy, spondylosis, and sometimes spondylolisthesis. All patients underwent a midline decompressive laminectomy with foraminotomies at the affected levels, and discectomy was performed in persons with lumbar disc hernia. Average age was 71.15 \u00b1 5.09 (65\u201380); 50% (16) were women, and 50% (16) were men. The most frequent symptoms were pain (96.9%) and neurological claudication (90.6%). The average preoperative duration of the symptoms was 139.87 \u00b1 115.03 weeks. The most frequent neurological symptoms were reflex disturbances (62.5%), Las\u00e8ques's sign (SLR) (+)(53%), and motor deficit (50%). The anteroposterior diameter of the spinal canal was less than 11.5 mm in 71.9% of the cases. In 62.5% of the patients, partial recovery was observed in the short term; 68.8% of the patients underwent laminectomy. Of those, 87.5% had total and 12.5% had partial laminectomies. In addition to laminectomy, discectomy was performed in 31.3% of the patients. Total laminectomy was more likely to be performed on patients older than 65 years, because the anteroposterior diameter was more likely to be below 11.5 mm in this cohort of patients. In lumbar stenosis, surgical treatment\u2014decompression\u2014is an effective method. Surgery has been demonstrated to be effective even in patients over the age of 75 years.<\/jats:bold> <\/jats:p>","DOI":"10.1196\/annals.1395.015","type":"journal-article","created":{"date-parts":[[2007,4,25]],"date-time":"2007-04-25T21:14:35Z","timestamp":1177535675000},"page":"173-178","source":"Crossref","is-referenced-by-count":15,"title":["Lumbar Spinal Stenosis in Elderly Patients"],"prefix":"10.1111","volume":"1100","author":[{"given":"HULAGU","family":"KAPTAN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OMUR","family":"KASIMCAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KUTAY","family":"CAKIROGLU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MUSTAFA NECMI","family":"ILHAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CELAL","family":"KILIC","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,4,18]]},"reference":[{"key":"e_1_2_4_2_2","first-page":"2207","volume-title":"Operative Neurosurgical Technigues","author":"Beck C.E.","year":"2000"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-103-2-271"},{"key":"e_1_2_4_4_2","first-page":"355","volume-title":"Principles and Practice of Spine Surgery","author":"Hamill C.L.","year":"2003"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00308608"},{"key":"e_1_2_4_6_2","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1302\/0301-620X.75B3.8496204","article-title":"Symptoms and signs in degeneration of the lumbar spine. A prospective conscutive study of 300 operated patients","volume":"75","author":"Jonsson B.","year":"1993","journal-title":"J. Bone Joint Surg."},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.3171\/spi.1999.91.2.0181"},{"key":"e_1_2_4_8_2","doi-asserted-by":"crossref","unstructured":"Jonsson B. M.Annertz C.Sjoberg&B.Stromqvist.1997.A prospective and consecutive study of surgically treated lumbar spinal stenosis. Part I: clinical features related to radiographic findings. Spine22(24):2932\u20132937.","DOI":"10.1097\/00007632-199712150-00016"},{"key":"e_1_2_4_9_2","first-page":"450","article-title":"Lumbar spinal stenosis. Symptomatology and methods of treatment","volume":"126","author":"Ivanov I.","year":"1998","journal-title":"Srp. Arh. Celok. Lek."},{"key":"e_1_2_4_10_2","doi-asserted-by":"crossref","unstructured":"Jonsson B. M.Annertz C.Sjoberg&B.Stromqvist.1997.A prospective and consecutive study of surgically treated lumbar spinal stenosis. Part II: five\u2010year follow\u2010up by an independent observer. Spine22(24):2938\u20132944.","DOI":"10.1097\/00007632-199712150-00017"},{"key":"e_1_2_4_11_2","first-page":"1","article-title":"Decompressive surgery for degenerative lumbar spinal stenosis: long\u2010term results","volume":"25","author":"Gelalis I.D.","year":"2005","journal-title":"Int. Orthop."},{"key":"e_1_2_4_12_2","first-page":"335","article-title":"Surgery for lumbar spinal stenosis in old people","volume":"76","author":"Sanderson P.L.","year":"1994","journal-title":"J. Bone. Joint. Surg. Br."},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1993.78.5.0695"},{"key":"e_1_2_4_14_2","first-page":"337","article-title":"Operative treatment for degenerative lumbar spinal canal stenosis","volume":"70","author":"Trouillier H.","year":"2004","journal-title":"Acta. Orthop. Belg."},{"key":"e_1_2_4_15_2","first-page":"138","article-title":"Lumbar canal stenosis in Ouagadougou: aetiological, clinical aspects and prognosis regarding 80 cases","volume":"48","author":"Kabre A.","year":"2003","journal-title":"Dakar Med."}],"container-title":["Annals of the New York Academy of Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1196%2Fannals.1395.015","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/nyaspubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1196\/annals.1395.015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T01:32:27Z","timestamp":1695605547000},"score":1,"resource":{"primary":{"URL":"https:\/\/nyaspubs.onlinelibrary.wiley.com\/doi\/10.1196\/annals.1395.015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,4]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2007,4]]}},"alternative-id":["10.1196\/annals.1395.015"],"URL":"https:\/\/doi.org\/10.1196\/annals.1395.015","archive":["Portico"],"relation":{},"ISSN":["0077-8923","1749-6632"],"issn-type":[{"value":"0077-8923","type":"print"},{"value":"1749-6632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,4]]}}}