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首页> 外文期刊>Spine >Results in the operative treatment of elderly patients with spinal meningiomas.
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Results in the operative treatment of elderly patients with spinal meningiomas.

机译：结果在老年脊柱脑膜瘤患者的手术治疗中。

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STUDY DESIGN: Thirty consecutive patients over 70 years of age who were operated on for spinal meningiomas are presented to assess surgical criteria and postoperative outcome. OBJECTIVES: To assess the outcome of surgically treated spinal meningiomas in patients in their eighth or ninth decade of life and to analyze the possible role of some prognostic factors. SUMMARY OF BACKGROUND DATA: The ageing of the population in the industrial nations has led to increased findings of benign spinal tumors, namely meningiomas, in the elderly. These slow-growing tumors may prevent these patients from leading an autonomous life. Little is known about the outcome of spinal meningioma surgery in patients of 70 years or older because the number of these patients, although increasing, is still small. METHODS: Thirty consecutive patients over 70 years of age (mean age, 77.1 years) were operated on for spinal meningiomas between 1986 and 2001. The preoperative neurologic status of the patients was graded with the Solero score, and the general health conditions were staged according to the American Society of Anesthesiology classification. Total tumor removal was achieved in 27 patients. The follow-up period ranged from 17 to 173 months (mean, 62.7 months). RESULTS: There was no operative mortality, and morbidity was not significant. Although not significant, neurologic outcome was better in patients with a low preoperative Solero score than those with a high one (P = 0.06). Clinical outcome was not influenced by the duration of symptoms before surgery or preoperative American Society of Anesthesiology classification. No recurrence was observed during the follow-up period. CONCLUSIONS: Neurologic outcome following surgery was favorable in the vast majority of patients, with no mortality or significant morbidity. Surgery is the only treatment in elderly patients with symptomatic spinal meningiomas, even those with a poor preoperative neurologic condition, whenever there is an acceptable risk from an anesthesiological point of view.
机译：研究设计：连续30例年龄在70岁以上的脊髓性脑膜瘤手术患者被评估手术标准和术后结局。目的：评估在其八十或九十岁的年龄段中，手术治疗的脊髓型脑膜瘤的疗效，并分析某些预后因素的可能作用。背景技术概述：工业国家人口的老龄化导致老年人良性脊柱肿瘤即脑膜瘤的发现增加。这些生长缓慢的肿瘤可能会阻止这些患者过自主生活。对于70岁以上的患者，脊柱脑膜瘤手术的结果知之甚少，因为这些患者的人数虽然在增加，但仍然很小。方法：1986年至2001年间，对30例70岁以上（平均年龄77.1岁）的脊柱脑膜瘤患者进行了手术。术前对患者的神经系统状况按Solero评分进行分级，并根据总体健康状况进行分级按美国麻醉学会分类。 27例患者全部切除了肿瘤。随访时间为17到173个月（平均62.7个月）。结果：无手术死亡，发病率不显着。术前Solero评分低的患者的神经学预后优于高评分的患者（P = 0.06），尽管不显着。临床结局不受手术前症状持续时间或术前美国麻醉学会分类的影响。在随访期间未观察到复发。结论：绝大多数患者术后神经系统预后良好，无死亡或高发病率。从麻醉学的角度来看，只要有可接受的风险，对于有症状的脊髓型脑膜瘤的老年患者，甚至是术前神经系统状况较差的老年患者，手术都是唯一的治疗方法。

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