Adult spine deformity surgery in elderly patients: are outcomes worse in patients 75 years and older?

Spine Deformity
Zachary R LovatoMichael S Chang

Abstract

Retrospective study of a prospectively collected database at one center. Assess the outcomes and complications of adult spinal deformity (ASD) surgery in patients that are 75 years and older compared with patients of 65-75 years of age. With increasing amounts of ASD surgery being performed on elderly patients, it is important to assess how age plays a factor in corrective reconstruction surgery. Inclusion criteria for the study were all patients ≥ 65 years of age that underwent thoracolumbar deformity correction involving ≥ four levels at a single institution by two surgeons. Patients were divided based on age into 65-74.9 or ≥ 75 groups. Radiographic parameters were measured preoperatively, postoperatively, and at 2 years. The Numeric Rating Scale (NRS) and Oswestry Disability Index (ODI) were collected preoperatively, at 1 year, and 2 years. Comorbidities included were based around the Charlson Comorbidity Index (CCI) and compared to the incidence of complications and need for further surgery. Both age groups had improvements in their radiographic parameters postoperatively which was maintained at 2 years. Comparing the different age groups with similar comorbidity burden in regard to complications and need for additional su...Continue Reading

References

Nov 25, 2003·The Journal of Bone and Joint Surgery. American Volume·Leah Y CarreonJohn R Johnson
Aug 5, 2010·Spine·Justin S SmithUNKNOWN Spinal Deformity Study Group
Feb 18, 2011·Spine·Charles A SansurChristopher I Shaffrey
Apr 28, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Charles H CrawfordSteven D Glassman
Oct 13, 2012·Clinical Spine Surgery : a Spine Publication·Timothy LonerganPatrick Taylor
Apr 9, 2013·Neurosurgery Clinics of North America·Ian McCarthyChristopher P Ames
Aug 27, 2013·Journal of Neurosurgery. Spine·Justin K ScheerUNKNOWN International Spine Study Group
Jan 18, 2014·Global Spine Journal·J A YoussefV Deviren
Sep 15, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ferran PelliséUNKNOWN European Spine Study Group, ESSG
Feb 7, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Daniel M SciubbaUNKNOWN International Spine Study Group (ISSG)
Feb 7, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Justin K ScheerUNKNOWN International Spine Study Group (ISSG)
Jul 15, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Nancy WorleyPeter G Passias
Apr 23, 2016·Spine·Alex SoroceanuUNKNOWN International Spine Study Group
Sep 11, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Doniel DrazinMaxwell Boakye
Nov 26, 2016·The Spine Journal : Official Journal of the North American Spine Society·David C SingLionel N Metz
Dec 9, 2016·Spine Deformity·Daniel M SciubbaUNKNOWN International Spine Study Group (ISSG)

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