ArticleInternational orthopaedics2017
Is it safe to perform lumbar spine surgery on patients over eighty five?
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- Associations of paraspinal muscle quantity and quality with patient-reported outcomes in patients aged ≥85 years undergoing lumbar spine surgery: an exploratory retrospective study.Journal of spine surgery (Hong Kong) · 2026Article
- Review
- Distal Junctional Failure: A Feared Complication of Multilevel Posterior Spinal Fusions.Journal of clinical medicine · 2024Article
- The hemostatic and anti-inflammatory effects of intravenous single-dose of tranexamic acid in double-segment posterior lumbar interbody fusion: a case control study.Scientific reports · 2024Article
- Instrumented lumbar fusion in patients over 75 years of age: is it worthwhile?-a comparative study of the improvement in quality of life between elderly and young patients.Journal of spine surgery (Hong Kong) · 2023Article
- The Essence of Clinical Practice Guidelines for Lumbar Spinal Stenosis, 2021: 4. Surgical Treatment.Spine surgery and related research · 2023Article
- Improvement following minimally invasive lumbar decompression in patients 80 years or older compared with younger age groups.Journal of neurosurgery. Spine · 2022Article
- Application of Machine Learning Algorithms to Predict Acute Kidney Injury in Elderly Orthopedic Postoperative Patients.Clinical interventions in aging · 2022Article
- Spinal Surgery in Patients Aged 80 Years and Older: Risk Stratification Using the Modified Frailty Index.Global spine journal · 2021Article
- Sagittal alignment assessment after short-segment lumbar fusion for degenerative disc disease.International orthopaedics · 2019Article
- Citations, non-citations and visibility of International Orthopaedics in 2017.International orthopaedics · 2018Article
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to evaluate the safety and tolerance of lumbar spine surgery in patients over 85. MATERIALS AND
methodsPatients over 85 years of age with LSS who underwent decompression surgery with or without fusion between February 2011 and July 2014 were included. Comorbidities, autonomy (Activities of Daily Life and Braden scales), surgical parameters and complications (Clavien-Dindo classification) were collected. A telephone survey was performed to assess survival and patients' satisfaction at last follow-up.
resultsMean follow-up was 27.4 ± 7.6 months (range, 18-65). Mean age was 87.5 ± 2.7 years (range, 85-97). Mean ADLs and Braden scores were, respectively, 4.3 ± 1.2 and 20.2 ± 1.4. Fifteen patients had associated spondylolisthesis. Nineteen minor complications (grade I and II, 38.7%), five moderate complications (grade III, 10.2%) and six major complications (grade IV and V, 12.2%) occurred. The perioperative mortality rate was 0.02%. At last follow-up, 41 patients were very satisfied (83.7%), five patients were satisfied (10.2%) and three patients were not satisfied (6.1%). Fusion did not affect the incidence of complications (p = 0.3) nor the average number of complications per patient (p = 0.2).
conclusionAdvanced age should not be a contraindication to lumbar spine surgery provided careful preoperative selection is performed. This study reported a high satisfaction rate and a low mortality rate at the price of a high number of complications, most of which being minor.
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