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Verfasst von:Ishak, Basem [VerfasserIn]   i
 Frieler, Sven [VerfasserIn]   i
 Rustagi, Tarush [VerfasserIn]   i
 Glinski, Alexander von [VerfasserIn]   i
 Blecher, Ronen [VerfasserIn]   i
 Norvell, Daniel C. [VerfasserIn]   i
 Unterberg, Andreas [VerfasserIn]   i
 Strot, Sarah [VerfasserIn]   i
 Roh, Jeffrey [VerfasserIn]   i
 Hart, Robert A. [VerfasserIn]   i
 Oskouian, Rod [VerfasserIn]   i
 Chapman, Jens R. [VerfasserIn]   i
Titel:Rates of early complications and mortality in patients older than 80 years of age after surgical treatment of acute traumatic spinal fractures
Titelzusatz:ankylosing spondylitis versus osteoporosis
Verf.angabe:Basem Ishak, MD, Sven Frieler, MD, Tarush Rustagi, MD, Alexander von Glinski, MD, PhD, Ronen Blecher, MD, Daniel C. Norvell, PhD, Andreas Unterberg, MD, PhD, Sarah Strot, MN, Jeffrey Roh, MD, MSc, MBA, Robert A. Hart, MD, Rod Oskouian, MD, and Jens R. Chapman, MD
E-Jahr:2021
Jahr:October 2021
Umfang:8 S.
Fussnoten:Gesehen am 09.02.2022
Titel Quelle:Enthalten in: Neurosurgical focus
Ort Quelle:Charlottesville, Va. : American Assoc. of Neurological Surgeons, 1996
Jahr Quelle:2021
Band/Heft Quelle:51(2021), 4, Artikel-ID E4, Seite 1-8
ISSN Quelle:1092-0684
Abstract:OBJECTIVE The purpose of this retrospective cohort study was to analyze the early complications and mortality associated with multilevel spine surgery for unstable fractures in patients older than 80 years of age with ankylosing spondylitis and to compare the results with an age- and sex-matched cohort of patients with unstable osteoporotic fractures. METHODS A retrospective review of the electronic medical records at a single institution was conducted between January 2014 and December 2019. Patient demographics, surgical characteristics, complications, hospital course, and 90-day mortality were collected. Comorbidities were stratified using the age-adjusted Charlson Comorbidity Index (CCI). RESULTS Among 11,361 surgically treated patients, 22 patients with ankylosing spondylitis (AS group) and 24 patients with osteoporosis (OS group) were identified. The mean ages were 83.1 ± 3.1 years and 83.2 ± 2.6 years, respectively. A significant difference in the mean CCI score was found (7.6 vs 5.6; p < 0.001). Multilevel posterior fusion procedures were conducted in all patients, with 6.7 ± 1.4 fused levels in the AS group and 7.1 ± 1.1 levels fused in the OS group (p > 0.05). Major complications developed in 10 patients (45%) in the AS group compared with 4 patients (17%) in the OS group (p < 0.05). The 90-day mortality was 36% in the AS group compared with 0% in the OS group (p < 0.001). CONCLUSIONS Patients older than 80 years of age with AS bear a high risk of adverse events after multilevel spinal fusion procedures. The high morbidity and 90-day mortality should be clearly discussed and carefully weighed against surgical treatment.
DOI:doi:10.3171/2021.7.FOCUS21150
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.3171/2021.7.FOCUS21150
 Volltext: https://thejns.org/focus/view/journals/neurosurg-focus/51/4/article-pE4.xml
 DOI: https://doi.org/10.3171/2021.7.FOCUS21150
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1789095859
Verknüpfungen:→ Zeitschrift

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