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Vol. 24, Art. 68 (pp. 1000-1020)    |    2023       

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Influence of peculiarities elderly and old age patients neuropsychological status on the dorsopathy treatment tactics and outcome

Kurnosov I.A1, Gulyaev D.A.2, Krasnoshlyk P.V. 2, Godanyuk D.S.2, Korepanov I.I. 2

1FSBEI HE North-Western State Medical University named after I.I. Mechnikov "Ministry of Health of Russia, Russia, St. Petersburg
2 «V.A. Almazov National Medical Research Center» Ministry of Health of the Russian Federation, St. Petersburg

Brief summary

Over the past 30 years, non-visceral low back pain, predominantly due to dorsopathies, has been the leading cause of disability worldwide. Globally, 64 million disability-adjusted life years were attributed to this problem in 2019. Thus, the high prevalence of dorsopathies in the population with a predominant lesion of the lumbosacral spine, causing a significant burden of the disease for both the individual patient and the healthcare system as a whole; An increasing number of aged patients with a high proportion of comorbidity and concomitant pharmacological stress, as well as age-related changes in the psycho-emotional sphere, dictates the need to study the features of surgical treatment in elderly and senile patients. In the course of our work, we came to the conclusion that changes in the neuropsychological status are not a contraindication to surgical treatment, but serve as a reason for preoperative preparation with the involvement of a psychotherapist, especially in the group of elderly and senile patients who are scheduled for decompression and stabilization surgery. It is also important to use minimally aggressive surgical technologies, which include the implantation of a metal structure along medial routes.


Key words

Degenerative-dystrophic diseases of the spine, dorsopathy, elderly and senile age, surgical treatment, neuropsychological status, transpedicular fixation.

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