ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024
Long-term outcomes after surgery for subaxial cervical spine injuries in octogenarians, a matched population-based cohort study.
Article in 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Multi-class cervical spine fracture classification using deep ensemble model based on CT images.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 · 2026Article
- Safety of carotid endarterectomy in the elderly and octogenarian population: a nationwide study including 80,000 patients.Neurosurgical review · 2026Article
- Epidemiology and risk of pulmonary complications following hepatobiliary surgical procedures: A retrospective study.World journal of gastrointestinal surgery · 2025Article
- Patient-reported outcome measures and satisfaction after laminectomy for degenerative cervical myelopathy in octogenarians: an observational study from the national Swedish spine registry.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 · 2025Observational
- Inpatient outcomes of upper cervical fractures in the elderly: a retrospective analysis of 268 cases.BMC geriatrics · 2025Article
- Hypoglossal Nerve Palsy Following Cervical Spine Surgery-Two Case Reports and a Systematic Review of the Literature.Brain sciences · 2025Review
- The surgical treatment of upper cervical spine trauma in octogenerians.Brain & spine · 2025Article
- Long-term outcome and predictors of neurological recovery in cervical spinal cord injury: a population-based cohort study.Scientific reports · 2024Article
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Authors and funding
12 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeWe aimed to investigate surgical outcomes in octogenarians with subaxial cervical spine injuries and determine the predictors of complications and mortality.
methodsEligible for inclusion were all patients surgically treated between 2006 and 2018, with either anterior or posterior fixation for subaxial spine injuries. A cohort of octogenarians was identified and matched 1:1 to a corresponding cohort of younger adults. Primary outcomes were perioperative complications and mortality.
resultsFifty-four patients were included in each of the octogenarian and younger groups (median age: 84.0 vs. 38.5). While the risks for surgical complications, including dural tears and wound infections, were similar between groups, the risks of postoperative medical complications, including respiratory or urinary tract infections, were significantly higher among the elderly (p < 0.05). Additionally, there were no differences in operative time (p = 0.625) or estimated blood loss (p = 0.403) between groups. The 30 and 90-day mortality rates were significantly higher among the elderly (p = 0.004 and p < 0.001). These differences were due to comorbidities in the octogenarian cohort as they were revoked when propensity score matching was performed to account for the differences in American Society of Anesthesiology (ASA) grade. Multivariable logistic regression revealed age and ASA score to be independent predictors of complications and the 90-day mortality, respectively.
conclusionsOctogenarians with comorbidities were more susceptible to postoperative complications, explaining the increased short-term mortality in this group. However, octogenarians without comorbidities had similar outcomes compared to the younger patients, indicating that overall health, including comorbidities, rather than chronological age should be considered in surgical decision-making.
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