Journals of Gerontology Series A: Biological Sciences and Medical Sciences Large Type Edition
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Articles by Clinchot, D. M.
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Journals of Gerontology Series A: Biological Sciences and Medical Sciences, Vol 53, Issue 1 M72-M75, Copyright © 1998 by The Gerontological Society of America


REVIEW, TUTORIAL

Lumbar spinal stenosis in an elderly patient

DM Clinchot, PE Kaplan and JF Lamb
Physical Medicine and Rehabilitation, Ohio State University, Columbus, USA.

BACKGROUND: The general population is aging, and lumbar stenosis is one of the more frequent conditions observed in an orthopedic or neurosurgical practice. METHODS: This case presentation is of an 86- year-old male who developed lumbar spinal stenosis with a progressive neurologic deficit that caused severe leg pain, affected bladder function, and affected gait. Relevant medical literature is reviewed. RESULTS: Bladder function and gait returned after spinal surgery, and this patient's pain was greatly reduced. A multidisciplinary team applied therapy after surgery. The medical literature does not concentrate solely upon patients older than 80, but a few are included in studies of younger patients. CONCLUSIONS: This case report illustrates that a patient over 80 can have a successful outcome with multidisciplinary medical coverage of medical, surgical, rehabilitative, social, and psychological areas. More studies need to be done of these patients.





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