Spine Surgery in a Geriatric Population. Is it Really Different?

Author:

Goudihalli Sachin R.1,Brar Harmandeep S.1,Patil Mandar1,Tanwar Vineet1,Mittal Mohit K.2,Swamy Adarsh C.2,Pathak Ashis1

Affiliation:

1. Department of Neurosurgery, Fortis Hospital, Mohali, Punjab, India

2. Department of Anaesthesia, Fortis Hospital, Mohali, Punjab, India

Abstract

Objectives: Spinal degenerative disorders are a major cause of morbidity in the elderly resulting in high dependency. Most of them have a trend to be managed conservatively considering age, comorbidities, and apprehensions of surgical complications. Surgical intervention at early stage with appropriate indications can have better outcomes rather than conservative management in fit patients. The objective of the study is to evaluate the functional outcome in geriatric patients > 60 years who have undergone various spinal procedures for degenerative spine. Methods: The study is retrospective, which includes all cases of spinal degenerative disease operated between 2014 and 2016. They were divided into geriatric (>60 years) and non-geriatric cohorts. These include all patients undergoing spinal decompression and/or instrumentation for degenerative disorders of the spine. Patients were interviewed for their functional outcomes in the follow-up period. Results: A total of 184 spine cases were operated upon by a single surgeon, out of which a total of 139 cases were operated for the spinal degenerative condition. Forty-eight patients underwent lumbar spinal fusion procedures, 67 underwent non-instrumented lumbar decompression, and 24 patients underwent cervical procedures. These were further divided into 65 geriatric cases and 74 non-geriatric cases. The outcome was assessed with improvement and functional outcomes for spinal disability. Statistical analysis was performed using SPSS 20. Conclusion: It is concluded that surgical intervention for spinal problems in geriatric patients is not different from the general population. The outcome is also satisfactory provided, the choice of surgical procedure as per its indication is appropriate. The usual preoperative evaluation for the geriatric age group is very important. The performance status before surgery and the comorbidities have a direct bearing on the outcome in these patients.

Publisher

Medknow

Reference29 articles.

1. Situation Analysis of The Elderly in India; Central Statistics Office Ministry of Statistics and Programme Implementation Government of India; part 1, Demography of ageing population in India, 2.1: Share of elderly in total population,2011

2. Situation Analysis of The Elderly in India; Central Statistics Office Ministry of Statistics and Programme Implementation Government of India; part 1, Demography of ageing population in India, 2.4: Life expectancy at selected ages,2011

3. The health of aging populations in China and India;Chatterji;Health Aff,2008

4. Longitudinal Aging Study in India: Vision, Design, Implementation, and Some Early Results;Arokiasamy;Presented at Indian National Science Academy; Agingin Asia conference,2011

5. Elective lumbar spinal decompression in the elderly: Is it a high-riskoperation?;Reindl;Can J Surg,2003

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