ArticleGlobal spine journal2020
Outcomes and Quality of Life Improvement After Multilevel Spinal Fusion in Elderly Patients.
Article in Global spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 25 citations in OpenAlex.
- Technical considerations for time-efficient four-level biportal endoscopic lumbar interbody fusion in a frail elderly patient with severe lumbar deformity: a case report.Journal of spine surgery (Hong Kong) · 2026Article
- Patient-reported outcomes and their associated factors at 1- and 2-year follow-up after lumbar spine surgery: a surgery registry study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Complex Decongestive Therapy With Oral Adenoid Cystic Cancer: A Case Report.Clinical case reports · 2025Article
- Independent Prognostic Factors Associated With Improved Patient-Reported Outcomes in the Prospective Evaluation of Elderly Deformity Surgery (PEEDS) Study.Global spine journal · 2024Article
- The Influence of Multilevel Spinal Deformity Surgery on the EuroQol 5 Dimensions' (EQ-5D) Questionnaire and Residential Status in the Elderly: A Prospective, Observational, Multicenter Study.Global spine journal · 2024Article
- The Functional Efficiency of Older Patients after Lumbar Spine Surgery, the Impact of Pain, and the Passage of Time: Tips for Care Providers.Healthcare (Basel, Switzerland) · 2024Article
- Intensive Care Unit Admission After Spine Surgery: A Narrative Review.International journal of spine surgery · 2024Article
- Evaluation of perioperative care and drivers of cost in geriatric thoracolumbar trauma.Brain & spine · 2024Article
- Implant Surface Technologies to Prevent Surgical Site Infections in Spine Surgery.International journal of spine surgery · 2023Article
- Article
- Comorbidity Influence on Postoperative Outcomes Following Anterior Cervical Discectomy and Fusion.Neurospine · 2021Article
- Does change in focal lordosis after spinal fusion affect clinical outcomes in degenerative spondylolisthesis?Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective case series.
objectivesBoth the rate and complexity of spine surgeries in elderly patients has increased. This study reports the outcomes of multilevel spine fusion in elderly patients and provides evidence on the appropriateness of complex surgery in elderly patients.
methodsWe identified 101 patients older than70 years who had ≥5 levels of fusion. Demographic, medical, and surgical data, and change between preoperative and >500 days postoperative health survey scores were collected. Health surveys were visual analogue scale (VAS), EuroQoL 5 Dimensions (EQ-5D), Oswestry Disability Index (ODI), Scoliosis Research Society questionnaire (SRS-30), and Short Form health survey (SF-12) (physical composite score [PCS] and mental composite score [MCS]). Minimal clinically important differences (MCIDs) were defined for each survey.
resultsComplications included dural tears (19%), intensive care unit admission (48%), revision surgery within 2 to 5 years (24%), and death within 2 to 5 years (16%). The percentage of patients who reported an improvement in health-related quality of life (HRQOL) of at least an MCID was: VAS Back 69%; EQ-5D 41%; ODI 58%; SRS-30 45%; SF-12 PCS 44%; and SF-12 MCS 48%. Improvement after a primary surgery, as compared with a revision, was on average 13 points higher in ODI (
conclusionsIn multilevel surgery in patients older than 70 years, complications are common, and on average 77% of patients attain some improvement, with 51% reaching an MCID. Physiological status is a stronger predictor of outcomes than chronological age.
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