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European Spine Journal

, Volume 28, Issue 1, pp 46–54 | Cite as

The prevalence and impact of frailty in patients with symptomatic lumbar spinal stenosis

  • Ho-Joong Kim
  • Saejong Park
  • Soo-Hyun Park
  • Jeong Hyun Lee
  • Bong-Soon Chang
  • Choon-Ki Lee
  • Jin S. YeomEmail author
Original Article
  • 150 Downloads

Abstract

Purpose

To investigate the prevalence of frailty in patients with symptomatic lumbar spinal stenosis (LSS) and a propensity score-matched control group, and to analyze the association between symptomatic LSS and frailty.

Methods

This study included 2 groups: 1 consisting of patients with symptomatic LSS (LSS group) and the other including healthy elderly subjects without degenerative spinal disease (control group). Baseline sociodemographic data, variables regarding frailty assessment, and clinical outcomes were collected. The frailty was assessed with Fried criteria. Between the LSS and control groups, the prevalence of frailty was compared. Among all participants, risk factors for frailty were identified using multivariate logistic regression.

Results

Totally, 843 subjects participated (142 in LSS group and 701 in control group) in this study. After the propensity score matching (142 in each group), the LSS group had significantly higher prevalence of frail than the control group (P < 0.001): 59 (41.5%) participants in the LSS group were frail, whereas 10 (7.0%) participants in the control group were frail. Within LSS group analysis showed that participants with frailty had significantly higher disability and lower quality of life compared to those in a robust state. Among all participants, LSS and age were found to be significant risk factors for frail in multivariate logistic regression model.

Conclusions

The present study highlights a strong association between symptomatic LSS and frailty. Furthermore, symptom severity and disability caused by LSS are significantly related to frailty. Therefore, early detection and appropriate treatment for frailty in patients with LSS is important.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.

Keywords

Frailty Lumbar spinal stenosis Fried frailty criteria Propensity score matching 

Notes

Acknowledgement

Ho-Joong Kim, MD, and Saejong Park, PhD, contributed equally to the writing of this article. This study was supported by research grants from the Korea Sports Promotion Foundation and Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2016R1A2B3012850). The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

586_2018_5710_MOESM1_ESM.pptx (138 kb)
Supplementary material 1 (PPTX 137 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Spine Center and Department of Orthopedic SurgerySeoul National University College of Medicine and Seoul National University Bundang HospitalSungnamRepublic of Korea
  2. 2.Division of Sports ScienceKorea Institute of Sports ScienceSeoulRepublic of Korea
  3. 3.Department of Orthopaedic SurgerySeoul National University College of Medicine and Seoul National University HospitalSeoulRepublic of Korea

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