Pedicle Screw Fixation for Arthrodesis of the Lumbosacral Spine in the Elderly

Abstract

Despite the increase in age, co-morbidity, and associated risk of perioperative complications inherent in this population, an outcome comparable with that of younger patients is reported.

Factors Predicting Hospital Stay, Operative Time, Blood Loss, and Transfusion in Patients Undergoing Revision Posterior Lumbar Spine Decompression, Fusion, and Segmental Instrumentation

“…Women undergoing lumber spine fusion were reported to have twice as many complications as men. 7 In this study, unemployed patients were significantly older than employed patients (P Ͻ 0.001), and patients with a history of diabetes had higher wound infection rate (P Ͻ 0.01). Patients with lower preoperative Hb and Hct reflected a relatively poorer general condition.…”

Complications and outcomes after spinal deformity surgery in the elderly: review of the existing literature and future directions

“…25 Within the entire cohort, 64% reported a decrease in pain and 63% reported improvement in overall function. 25 Perhaps most importantly, 73% of those responding demonstrated at least a 50% improvement in their activities of daily living.…”

“…25 Within the entire cohort, 64% reported a decrease in pain and 63% reported improvement in overall function. 25 Perhaps most importantly, 73% of those responding demonstrated at least a 50% improvement in their activities of daily living. 25 Zheng et al 62 studied patients with an average age of 70 years undergoing posterior lumbar spinal surgery to treat a variety of degenerative spinal disorders.…”

“…25 Perhaps most importantly, 73% of those responding demonstrated at least a 50% improvement in their activities of daily living. 25 Zheng et al 62 studied patients with an average age of 70 years undergoing posterior lumbar spinal surgery to treat a variety of degenerative spinal disorders. Using the modified low-back outcome scores, favorable outcomes were observed in 71% of patients.…”

Outpatient Lumbar Spine Decompression in 233 Patients 65 Years of Age or Older

“…[5][6][7][8][9] The surgical treatment of the lumbar spine in the elderly has been studied and has high success rates and satisfaction 4,10 -19 with comparable results to that of a younger population. 11,12,15,17 If determined to be safe, outpatient surgery is often favored due to lower costs and risk of nosocomial infection or complication. In the elderly, outpatient surgery is somewhat controversial due to changes associated with aging, yet a number of studies have justified its success.…”