A Single-stage Surgery of Coexisting Lumbar and Cervical Stenosis

Abstract：Objective To evaluate the treatment of a single-stage suregery of coexisting lumbar and cervical stenosis and relative factors. Methods From March 2005 to May 2012,61 cases with coexisting lumbar and cervical stenosis received a single-stage surgery by two teams. Results were evaluated with modified Japanese Orthopedic Association score( JOA),oswe-stry disability index( ODI),Nurick grade( NG),patient satisfaction index,JOA recovery rate,blood loss and complication. Results The JOA,ODI and NG showed an average improvement of 4. 2,39. 4,1. 16 points at 12 months,respectively. Patient satisfaction index was(2. 53 ± 0. 87). The average JOA recovery rate was(47. 36 ± 25. 85)%. In the age group below 60,the improvement was statistically higher in terms of ODI(P=0. 03)and NG(P=0. 04). Conclusion A single-stage suregery maybe effective and saft in the treatment of coexisting lumbar and cervical stenosis. Age,blood loss and duration of surgery de-cide the complication rate and outcome of surgery. However,this type of surgery is not recommended in patients above the age of 60 years.