Patients with spinal deformity over the age of 75: a retrospective analysis of operative versus non-operative management.
| dc.contributor.author | Sciubba, Daniel M | |
| dc.contributor.author | Scheer, Justin K | |
| dc.contributor.author | Yurter, Alp | |
| dc.contributor.author | Smith, Justin S | |
| dc.contributor.author | Lafage, Virginie | |
| dc.contributor.author | Klineberg, Eric | |
| dc.contributor.author | Gupta, Munish | |
| dc.contributor.author | Eastlack, Robert | |
| dc.contributor.author | Mundis, Gregory M | |
| dc.contributor.author | Protopsaltis, Themistocles S | |
| dc.contributor.author | Blaskiewicz, Donald | |
| dc.contributor.author | Kim, Han Jo | |
| dc.contributor.author | Koski, Tyler | |
| dc.contributor.author | Kebaish, Khaled | |
| dc.contributor.author | Shaffrey, Christopher I | |
| dc.contributor.author | Bess, Shay | |
| dc.contributor.author | Hart, Robert A | |
| dc.contributor.author | Schwab, Frank | |
| dc.contributor.author | Ames, Christopher P | |
| dc.contributor.author | International Spine Study Group (ISSG) | |
| dc.date.accessioned | 2023-07-09T22:17:53Z | |
| dc.date.available | 2023-07-09T22:17:53Z | |
| dc.date.issued | 2016-08 | |
| dc.date.updated | 2023-07-09T22:17:51Z | |
| dc.description.abstract | PurposeThe goal of the present study was to compare the outcomes of operative and non-operative patients with adult spinal deformity (ASD) over 75 years of age.MethodsA retrospective review of a multicenter prospective adult spinal deformity database was conducted examining patients with ASD over the age of 75 years. Demographics, comorbidities, operation-related variables, complications, radiographs, and Health-related quality of life (HRQOL) measures collected included Oswestry Disability Index, Short Form-36, and Scoliosis Research Society-22 preoperatively, and at 1 and 2 years later. Minimum clinically important difference (MCID) was calculated and also compared.Results27 patients (12 operative, 15 non-operative) were studied. There were no significant differences (p > 0.05) between operative and non-operative patients for age, body mass-index, and comorbidities, but operative patients had worse baseline HRQOL than non-operative patients. Operative patients had a significant improvement in radiographic parameters in 2-year HRQOL, whereas non-operative patients did not (p > 0.05). Operative patients were significantly more likely to reach MCID (range 41.7-81.8 vs. 0-33.3 %, p < 0.05). In the surgical group, 9 (75 %) patients had at least 1 complication (24 total complications).ConclusionsIn the largest series to date comparing operative and non-operative management of adult spinal deformity in elderly patients greater than 75 years of age, reconstructive surgery provides significant improvements in pain and disability over a 2-year period. Furthermore, operative patients were more likely to reach MCID than non-operative patients. When counseling elderly patients with ASD, such data may be helpful in the decision-making process regarding treatment. | |
| dc.identifier | 10.1007/s00586-015-3759-7 | |
| dc.identifier.issn | 0940-6719 | |
| dc.identifier.issn | 1432-0932 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Springer Science and Business Media LLC | |
| dc.relation.ispartof | 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 | |
| dc.relation.isversionof | 10.1007/s00586-015-3759-7 | |
| dc.subject | International Spine Study Group (ISSG) | |
| dc.subject | Humans | |
| dc.subject | Spinal Diseases | |
| dc.subject | Scoliosis | |
| dc.subject | Pain | |
| dc.subject | Radiography | |
| dc.subject | Orthopedic Procedures | |
| dc.subject | Spinal Fusion | |
| dc.subject | Retrospective Studies | |
| dc.subject | Comorbidity | |
| dc.subject | Quality of Life | |
| dc.subject | Databases, Factual | |
| dc.subject | Aged | |
| dc.subject | Aged, 80 and over | |
| dc.subject | Female | |
| dc.subject | Male | |
| dc.subject | Conservative Treatment | |
| dc.title | Patients with spinal deformity over the age of 75: a retrospective analysis of operative versus non-operative management. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Shaffrey, Christopher I|0000-0001-9760-8386 | |
| pubs.begin-page | 2433 | |
| pubs.end-page | 2441 | |
| pubs.issue | 8 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Orthopaedic Surgery | |
| pubs.organisational-group | Neurosurgery | |
| pubs.publication-status | Published | |
| pubs.volume | 25 |
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