Nonsurgical Treatment of Lumbar Disk Herniation: Are Outcomes Different in Older Adults?
Version of Record online: 10 MAR 2011
© 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 59, Issue 3, pages 423–429, March 2011
How to Cite
Suri, P., Hunter, D. J., Jouve, C., Hartigan, C., Limke, J., Pena, E., Li, L., Luz, J. and Rainville, J. (2011), Nonsurgical Treatment of Lumbar Disk Herniation: Are Outcomes Different in Older Adults?. Journal of the American Geriatrics Society, 59: 423–429. doi: 10.1111/j.1532-5415.2011.03316.x
- Issue online: 10 MAR 2011
- Version of Record online: 10 MAR 2011
- intervertebral disk displacement;
OBJECTIVES: To determine whether older adults (aged ≥60) experience less improvement in disability and pain with nonsurgical treatment of lumbar disk herniation (LDH) than younger adults (<60).
DESIGN: Prospective longitudinal comparative cohort study.
SETTING: Outpatient specialty spine clinic.
PARTICIPANTS: One hundred thirty-three consecutive patients with radicular pain and magnetic resonance–confirmed acute LDH (89 younger, 44 older).
INTERVENTION: Nonsurgical treatment customized for the individual patient.
MEASUREMENTS: Patient-reported disability on the Oswestry Disability Index (ODI), leg pain intensity, and back pain intensity were recorded at baseline and 1, 3, and 6 months. The primary outcome was the ODI change score at 6 months. Secondary longitudinal analyses examined rates of change over the follow-up period.
RESULTS: Older adults demonstrated improvements in ODI (range 0–100) and pain intensity (range 0–10) with nonsurgical treatment that were not significantly different from those seen in younger adults at 6 month follow-up, with or without adjustment for potential confounders. Adjusted mean improvement in older and younger adults were 31 versus 33 (P=.63) for ODI, 4.5 versus 4.5 (P=.99) for leg pain, and 2.4 versus 2.7 for back pain (P=.69). A greater amount of the total improvement in leg pain and back pain in older adults was noted in the first month of follow-up than in younger adults.
CONCLUSION: These preliminary findings suggest that the outcomes of LDH with nonsurgical treatment were not worse in older adults (≥60) than in younger adults (<60). Future research is warranted to examine nonsurgical treatment for LDH in older adults.