Abstract
Nonsurgical clinical course for elderly patients with lumber canal stenosis was investigated and operative indication in those was examined. There were 27 patients (15 males and 12 females) averaging 76 years of age. The average period of observation was 2.4 years. We estimated clinical course by low back pain, lower extremity pain, numbness, intermittent claudication, JOA score, and ability to walk. We also inquired whether they were living alone or with others. JOA score slightly improved from 14.3 points to 17.0 points. Low back pain also improved in half of the patients. On the other hand, lower extremity pain, numbness, and intermittent claudication remained unchanged or worsened. However, since most of the patients lived with their families and could be taken care of, they did not seek operation. The clinical course and living conditions of patients are important in determining whether an operation is necessary.
