Day Case Lumbar Fusion Surgery
The article examined the perioperative risk factors associated with lumbar spine fusion surgery in elderly patients. The study retrospectively investigated 202 elderly patients aged 77-92 years who had undergone lumbar spinal fusion surgeries between January 2019 and June 2021. The researchers collected information on age, sex, comorbidity, fixation segments, operation time, surgical blood loss, and perioperative complications. Out of the patients, 15.3% experienced complications, with 1% mortality rate. Age was found to be significantly associated with major postoperative complications, while other factors tested, such as sex, comorbidity, fixation segments, operation time, and surgical blood loss, did not show significant associations. The study also revealed that patients aged 80 and 81 years had a 10 times higher rate of major postoperative complications compared to 77-year-old patients. Therefore, age was identified as an independent risk factor for major postoperative complications in elderly patients undergoing lumbar spinal fusion surgery, suggesting the need for increased attention to older patients, particularly those aged 80 and above
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced day surgery hospital in the world
Published article
CONCLUSIONS: Although with great progress of medical technology, increasing age was still the independent risk factor for major postoperative complications in elderly patients undergoing lumbar spinal fusion surgery. As for the incidence of major postoperative complications, 80 and 81 years old patients was 10 folds higher than that of 77 years old patients, reminding us to pay more attention to 80 years old and even older patients.
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
BMC Musculoskelet Disord. 2023 Jul 14;24(1):573. doi: 10.1186/s12891-023-06689-z.ABSTRACTPURPOSE: To analyze the perioperative risk factors related to lumbar spine fusion surgery in elderly patients.METHODS: 202 elderly patients (age range 77-92 years old) who have underwent lumbar spinal fusion surgeries between January 2019 and June 2021 were retrospectively investigated. Information of age, sex, comorbidity, fixation segments, operation,
BMC Musculoskelet Disord. 2023 Jul 14;24(1):573. doi: 10.1186/s12891-023-06689-z.
ABSTRACT
PURPOSE: To analyze the perioperative risk factors related to lumbar spine fusion surgery in elderly patients.
METHODS: 202 elderly patients (age range 77-92 years old) who have underwent lumbar spinal fusion surgeries between January 2019 and June 2021 were retrospectively investigated. Information of age, sex, comorbidity, fixation segments, operation time, surgical blood loss and perioperative complications during hospitalization were collected. Risk factors for complications were analyzed. Student’s t-test, chi-square test, Mann-Whitney U‑test and multivariate generalized linear models were used.
RESULTS: In this study, 31 patients presented complications (15.3%) in these elderly patients with an average age of 79.1 years, including 1 patient with intraoperative complication and 30 patients with postoperative complications; and 2 out of 31 patients (1%) died. The elderly patients were divided into group A (24 patients) with major postoperative complications and group B (178 patients) without major postoperative complications. Major postoperative complications were significantly associated with age (univariate analysis, t = 3.92, P < 0.001; multivariate analysis, OR = 1.323, 95%CI 1.126-1.554, P = 0.001), but not significantly associated with other factors tested (sex, comorbidity, fixation segments, operation time, surgical blood loss). Then 173 patients (range 77-81 years) were selected and the rate of major postoperative complications of each age from 78 to 81 years was compared with that of 77 years patients, respectively. We found that the ratios of complications at 80 years (OR = 10.000, P = 0.019) and 81 years (OR = 10.000, P = 0.009) were higher than the ratio at 77 years.
CONCLUSIONS: Although with great progress of medical technology, increasing age was still the independent risk factor for major postoperative complications in elderly patients undergoing lumbar spinal fusion surgery. As for the incidence of major postoperative complications, 80 and 81 years old patients was 10 folds higher than that of 77 years old patients, reminding us to pay more attention to 80 years old and even older patients.
PMID:37452304 | DOI:10.1186/s12891-023-06689-z
The London Spine Unit : most advanced day surgery hospital in the world
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Perioperative risk factors related to complications of lumbar spine fusion surgery in elderly patients
