English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Objective: Medical progress is increasingly confronting us with the question of whether complex surgicalspinal care can be performed safely, even in older patients. This study is intended to contribute to theclarification of this question.Methods: 53 patients with a minimum age of 70 years at time of surgery were retrospectively enrolled in asingle center setting. All patients were treated with complex dorsoventral instrumentation and corpectomydue to different pathologies. Because of neurological deficits and untreatable pain, no control group ofpatients could be defined in advanced age by withholding necessary surgery. The ethical committee wouldnot accept this.Results: Most patients benefited from the procedure with regard to pain (97%), sensori-motor deficit (89%),and finally, immobility (82%). The duration of surgery, the amount of transfused red blood cell concentrates,and the length of hospital stay were not predictors of a poor overall outcome. It was shown that the risk ofpostoperative complications increased due to the number of preoperative secondary diagnoses.Conclusion: Therefore, not the patients’ age alone is of prime importance for individual surgical treatmentdecisions, but the number of secondary diagnoses plays a more important role. Especially in that olderpopulation, patients benefit from surgical therapy; regardless, it could be complex.

Complex Spinal Dorso-Ventral Stabilization in the Elderly – Is Age a Limiting Factor? Retrospective Case Series of 53 patients