OBJECTIVES: The purpose of this study was to compare lumbar spine surgical procedures by age, gender, and number of comorbidities with respect to mortality in patients 65 years of age and older in the United States. METHODS: A 100% sample of the 1986 Medicare inpatient Health Care Financing Administration claims files databases involving lumbar spine surgical procedures was analyzed. RESULTS: Lumbar spine surgery in 34,418 patients (median age = 71 years) was associated with a significant increase in in-hospital and 1-year cumulative mortality only beyond 80 years of age. When adjusted for age, in-hospital and 1-year cumulative mortality with both decompression and excision procedures were significantly higher in men than in women. When adjusted for both age and gender, mortality increased significantly as the number of comorbidities increased. CONCLUSIONS: With lumbar spine surgery in elderly patients, mortality did not significantly increase until 80 years of age and was consistently associated with decompression and excision, with male gender, and with an increase in number of comorbidities.
OBJECTIVES: The purpose of this study was to compare lumbar spine surgical procedures by age, gender, and number of comorbidities with respect to mortality in patients 65 years of age and older in the United States. METHODS: A 100% sample of the 1986 Medicare inpatient Health Care Financing Administration claims files databases involving lumbar spine surgical procedures was analyzed. RESULTS: Lumbar spine surgery in 34,418 patients (median age = 71 years) was associated with a significant increase in in-hospital and 1-year cumulative mortality only beyond 80 years of age. When adjusted for age, in-hospital and 1-year cumulative mortality with both decompression and excision procedures were significantly higher in men than in women. When adjusted for both age and gender, mortality increased significantly as the number of comorbidities increased. CONCLUSIONS: With lumbar spine surgery in elderly patients, mortality did not significantly increase until 80 years of age and was consistently associated with decompression and excision, with male gender, and with an increase in number of comorbidities.
Authors: A J Hartz; H Krakauer; E M Kuhn; M Young; S J Jacobsen; G Gay; L Muenz; M Katzoff; R C Bailey; A A Rimm Journal: N Engl J Med Date: 1989-12-21 Impact factor: 91.245
Authors: Stavros G Memtsoudis; Vassilios I Vougioukas; Yan Ma; Licia K Gaber-Baylis; Federico P Girardi Journal: Spine (Phila Pa 1976) Date: 2011-10-15 Impact factor: 3.468
Authors: Matthias Pumberger; Ya Lin Chiu; Yan Ma; Federico P Girardi; Vassilios Vougioukas; Stavros G Memtsoudis Journal: Eur Spine J Date: 2012-04-18 Impact factor: 3.134
Authors: Nancy Worley; Bryan Marascalchi; Cyrus M Jalai; Sun Yang; Bassel Diebo; Shaleen Vira; Anthony Boniello; Virginie Lafage; Peter G Passias Journal: Eur Spine J Date: 2015-07-09 Impact factor: 3.134