Total for the last 12 months
number of access : ?
number of downloads : ?
ID 119474
Title Alternative
FESS is a good surgical option for the elderly
Author
Kishima, Kazuya Hyogo College of Medicine|Tokushima University
Yagi, Kiyoshi Tokushima University|Nagoya City University
Maeda, Toru Tokushima University
Keywords
full-endoscopic spine surgery
oldest old patients
over 90 years old
lumbar spinal stenosis
Content Type
Journal Article
Description
Background : Transforaminal full-endoscopic spine surgery (FESS) is the least invasive spinal surgery and can be performed under local anesthesia. In Japan, the population is rapidly aging and the number of spinal surgeries performed in the elderly is also increasing. Object : In this report, we describe 3 patients aged 90 years or older in whom we performed FESS under local anesthesia. Case : The first case was a 90-year-old man who presented with severe leg pain. He had multiple medical comorbidities and was unsuitable for general anesthesia. We performed FESS. After surgery, the leg pain resolved with full recovery of muscle strength. He was discharged with no perioperative complications. The second case was a 90-year-old man who presented with severe leg pain. MRI showed a herniated nucleus pulposus and foraminal stenosis at L4 / 5. We performed FESS. The leg pain improved immediately after surgery. The third case was a 91-year-old woman in whom we diagnosed left L5 radiculopathy due to foraminal stenosis at L5 / S1. After surgery, her leg pain was relieved. Conclusion : FESS is a good surgical procedure for elderly patients who are in a poor general condition because it is minimally invasive and can be performed under local anesthesia with early mobilization.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
Publisher
Tokushima University Faculty of Medicine
Volume
71
Issue
1-2
Start Page
169
End Page
173
Sort Key
169
Published Date
2024-02
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences