STUDY DESIGN: Single-center retrospective study of prospectively collected data, nested within the Eurospine Spine Tango data acquisition system. OBJECTIVE: The aim of this study was to assess the patient-rated outcome and complication rates associated with lumbar fusion procedures in three different age groups. SUMMARY OF BACKGROUND DATA: There is a general reluctance to consider spinal fusion procedures in elderly patients due to the increased likelihood of complications. METHODS: Before and at 3, 12, and 24 months after surgery, patients completed the multidimensional Core Outcome Measures Index. At the 3-, 12-, and 24-month follow-ups, they also rated the Global Treatment Outcome and their satisfaction with care. Patients were divided into three age groups: younger (≥50 years <65 years; n = 317), older (≥65 years <80 years; n = 350), and geriatric (≥80 years; n = 40). RESULTS: A total of 707 consecutive patients were included. The preoperative comorbidity status differed significantly (P < 0.0001) between the age groups, with the highest scores in the geriatric group. Medical complications during surgery were lower in the younger age group (7%) than in the older (13.4%; P = 0.006) and geriatric groups (17.5%; P = 0.007); surgical complications tended to be higher in the elderly group (younger, 6.3%; older, 6.0%; geriatric, 15.0%; P = 0.09). There were no significant group differences (P > 0.05) for the scores on any of the Core Outcome Measures Index domains, Global Treatment Outcome, or patient-rated satisfaction at either 3-, 12-, and 24-months of follow-up. CONCLUSION: Despite greater comorbidity and complication rates in geriatric patients, the patient-rated outcome was as good in the elderly as it was in younger age groups up to 2 years after surgery. These data indicate that geriatric age needs careful consideration of associated risks but is not per se a contraindication for fusion for lumbar degenerative disease. LEVEL OF EVIDENCE: 4.
STUDY DESIGN: Single-center retrospective study of prospectively collected data, nested within the Eurospine Spine Tango data acquisition system. OBJECTIVE: The aim of this study was to assess the patient-rated outcome and complication rates associated with lumbar fusion procedures in three different age groups. SUMMARY OF BACKGROUND DATA: There is a general reluctance to consider spinal fusion procedures in elderly patients due to the increased likelihood of complications. METHODS: Before and at 3, 12, and 24 months after surgery, patients completed the multidimensional Core Outcome Measures Index. At the 3-, 12-, and 24-month follow-ups, they also rated the Global Treatment Outcome and their satisfaction with care. Patients were divided into three age groups: younger (≥50 years <65 years; n = 317), older (≥65 years <80 years; n = 350), and geriatric (≥80 years; n = 40). RESULTS: A total of 707 consecutive patients were included. The preoperative comorbidity status differed significantly (P < 0.0001) between the age groups, with the highest scores in the geriatric group. Medical complications during surgery were lower in the younger age group (7%) than in the older (13.4%; P = 0.006) and geriatric groups (17.5%; P = 0.007); surgical complications tended to be higher in the elderly group (younger, 6.3%; older, 6.0%; geriatric, 15.0%; P = 0.09). There were no significant group differences (P > 0.05) for the scores on any of the Core Outcome Measures Index domains, Global Treatment Outcome, or patient-rated satisfaction at either 3-, 12-, and 24-months of follow-up. CONCLUSION: Despite greater comorbidity and complication rates in geriatric patients, the patient-rated outcome was as good in the elderly as it was in younger age groups up to 2 years after surgery. These data indicate that geriatric age needs careful consideration of associated risks but is not per se a contraindication for fusion for lumbar degenerative disease. LEVEL OF EVIDENCE: 4.
Authors: Marc Dreimann; Axel Hempfing; Martin Stangenberg; Lennart Viezens; Lukas Weiser; Patrick Czorlich; Sven Oliver Eicker Journal: Neurosurg Rev Date: 2017-03-09 Impact factor: 3.042
Authors: Ankur S Narain; James M Parrish; Nathaniel W Jenkins; Brittany E Haws; Benjamin Khechen; Kelly H Yom; Krishna T Kudaravalli; Jordan A Guntin; Kern Singh Journal: Int J Spine Surg Date: 2020-04-30
Authors: Aladine A Elsamadicy; Andrew B Koo; Wyatt B David; Cheryl K Zogg; Adam J Kundishora; Christopher S Hong; Gregory A Kuzmik; Ramana Gorrepati; Pedro O Coutinho; Luis Kolb; Maxwell Laurans; Khalid Abbed Journal: Spine (Phila Pa 1976) Date: 2021-06-15 Impact factor: 3.241
Authors: Julius Dengler; Bradley Duhon; Peter Whang; Clay Frank; John Glaser; Bengt Sturesson; Steven Garfin; Daniel Cher; Aaron Rendahl; David Polly Journal: Spine (Phila Pa 1976) Date: 2017-11-01 Impact factor: 3.241