Lumbar discal herniation in the elderly: long-term results of chymopapain chemonucleolysis

1993 ◽  
Vol 2 (3) ◽  
pp. 149-152 ◽  
Author(s):  
M. Benoist ◽  
H. Parent ◽  
M. Nizard ◽  
B. Lassale ◽  
A. Deburge
2021 ◽  
Vol 10 (22) ◽  
pp. 5308
Author(s):  
Renana Yemini ◽  
Ruth Rahamimov ◽  
Ronen Ghinea ◽  
Eytan Mor

With scarce organ supply, a selection of suitable elderly candidates for transplant is needed, as well as auditing the long-term outcomes after transplant. We conducted an observational cohort study among our patient cohort >60 years old with a long follow up. (1). Patients and Methods: We used our database to study the results after transplant for 593 patients >60 years old who underwent a transplant between 2000–2017. The outcome was compared between live donor (LD; n = 257) recipients, an old-to-old (OTO, n = 215) group using an extended criteria donor (ECD) kidney, and a young-to-old (YTO, n = 123) group using a standard-criteria donor. The Kaplan−Meir method was used to calculate the patient and graft survival and Cox regression analysis in order to find risk factors associated with death. (2). Results: The 5- and 10-year patient survival was significantly better in the LD group (92.7% and 66.9%) compared with the OTO group (73.3% and 42.8%) and YTO group (70.9% and 40.6%) (p < 0.0001). The 5- and 10-year graft survival rates were 90.3% and 68.5% (LD), 61.7% and 30.9% (OTO), and 64.1% and 39.9%, respectively (YTO group; p < 0.0001 between the LD and the two DD groups). There was no difference in outcome between patients in their 60’s and their 70’s. Factors associated with mortality included: age (HR-1.060), DM (HR-1.773), IHD (HR-1.510), and LD/DD (HR-2.865). (3). Conclusions: Our 17-years of experience seems to justify the rational of an old-to-old allocation policy in the elderly population. Live-donor transplant should be encouraged whenever possible. Each individual decision of elderly candidates for transplant should be based on the patient’s comorbidity and predicted life expectancy.


1990 ◽  
Vol 50 (6) ◽  
pp. 919-922 ◽  
Author(s):  
Teruyoshi Ishida ◽  
Hideki Yokoyama ◽  
Satoshi Kaneko ◽  
Kenji Sugio ◽  
Keizo Sugimachi

1990 ◽  
Vol 15 (2) ◽  
pp. A96 ◽  
Author(s):  
Kit Arom ◽  
Demetre Nicoloff ◽  
William Lindsay ◽  
William Northrup ◽  
Thomas Kersten ◽  
...  

Angiology ◽  
1993 ◽  
Vol 44 (12) ◽  
pp. 933-937 ◽  
Author(s):  
Vasilis Voudris ◽  
John Antonellis ◽  
Anastasios Salachas ◽  
George Ifantis ◽  
Dimitris Sionis ◽  
...  

Neurosurgery ◽  
1990 ◽  
Vol 26 (5) ◽  
pp. 758-763 ◽  
Author(s):  
Frances K. Conley ◽  
Carol T. Cady ◽  
Robert E. Lieberson

Abstract We present a series of 25 elderly patients who exhibited signs and symptoms of neurogenic claudication and who were found to have one or two levels of spinal stenosis. At the time of decompressive surgery, excessive movement was found at the stenotic levels, so a simple stabilization procedure was performed using Knodt rods and a facet fusion. The expectation was that spine fixation would decrease the amount of postoperative back pain, which can be a result of continued abnormal mobility. All of the patients have been followed for 2 or more years. This elderly group of individuals tolerated surgery well, and long-term results were good.


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