ArticleGlobal spine journal2021
Spinal Surgery in Patients Aged 80 Years and Older: Risk Stratification Using the Modified Frailty Index.
Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Preoperative frailty and postoperative complications after non-cardiac surgery: a systematic review.The Journal of international medical research · 2024Pooled it
- Practical Application of the AO Spine Primary Infection Classification System: Clarifying Definitions, Borderline Cases and Common Misinterpretations.Global spine journal · 2026Review
- Systemic Inflammatory Response Index as a Predictor of Postoperative Infectious Complications in Elderly Patients Undergoing Posterior Spinal Instrumentation.Journal of clinical medicine · 2025Article
- Integrated management of metastatic spinal tumors: current status and future directions.Medical oncology (Northwood, London, England) · 2025Review
- Mortality in patients older than 65 years undergoing surgery for degenerative lumbar spine disease: a comparison with the general population.BMC geriatrics · 2024Article
- Letter to the Editor: 'Lumbar Decompression Versus Decompression and Fusion in Octogenarians: Complications and Clinical Course with 3-Year Follow-Up'.Global spine journal · 2024Article
- Frailty is not an independent risk factor for worse clinical outcomes in lumbar spinal surgery: a prospective cohort study.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 · 2024Article
- Article
- Posterior Instrumented Spinal Surgery Outcomes in the Elderly: A Comparison of the 5-Item and 11-Item Modified Frailty Indices.Global spine journal · 2024Article
- Spinal orthoses in osteoporotic vertebral fractures of the elderly.Journal of spine surgery (Hong Kong) · 2023Article
- Surgical treatment of cerebellar metastases in elderly patients: A threshold that moves forward?World neurosurgery: X · 2023Article
- Risk Stratification of Elderly Patients Undergoing Spinal Surgery Using the Modified Frailty Index.Global spine journal · 2023Article
- Why are frailty indices not used systematically during preoperative spine consultations?Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2022Article
- The influence of frailty on postoperative complications in geriatric patients receiving single-level lumbar fusion surgery.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 · 2021Article
- Central Sarcopenia, Frailty and Comorbidity as Predictor of Surgical Outcome in Elderly Patients with Degenerative Spine Disease.Journal of Korean Neurosurgical Society · 2021Article
- La Frailty as a predictor index in spine surgeryRevista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021Article
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designThis was an ambispective clinical quality registry study.
objectiveTo evaluate utility of 11-variable modified Frailty Index (mFI) in predicting postoperative outcomes among patients ≥80 years undergoing spinal surgery.
methodsConsecutive patients ≥80 years who underwent spinal surgery between January 1, 2013, and June 30, 2018, were included. Primary outcome measure was rate of major complication. Secondary outcome measures were (1) overall complication rate, (2) surgical site infection, and (3) 6-month mortality.
resultsA total of 121 operations were performed. Demographic metrics were (1) age (mean ± SD) = 83.1 ± 2.8 years and (2) mFI (mean ± SD) = 2.1 ± 1.4 variables. As mFI increased from 0 to ≥4 variables, risk of major complication increased from 18.2% to 40.0% (
conclusionsmFI scores of ≥3/11 variables were associated with a higher risk of postoperative morbidity in patients aged ≥80 years undergoing spinal surgery. The mFI-associated risk stratification provides a valuable adjunct in surgical decision making for this rapidly growing subpopulation of patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.