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

Neurosurgical Focus

Volumn 31, Issue 4, 2011, Pages

  Drazin, Doniel ^a   Shirzadi, Ali ^a   Rosner, Jack ^a   Eboli, Paula ^a   Safee, Michael ^a   Baron, Eli M ^a   Liu, John C ^a   Acosta, Frank L ^a  

^a CEDARS SINAI MEDICAL CENTER   (United States)

Author keywords

Complication; Elderly; Future direction; Minimally invasive; Outcome; Spinal deformity

Indexed keywords

AGE; AGED; COMPARATIVE STUDY; FOLLOW UP; FORECASTING; HUMAN; ORTHOPEDIC SURGERY; POSTOPERATIVE COMPLICATION; REVIEW; SPINE DISEASE; TREATMENT OUTCOME;

AGE FACTORS; AGED; AGED, 80 AND OVER; FOLLOW-UP STUDIES; FORECASTING; HUMANS; ORTHOPEDIC PROCEDURES; POSTOPERATIVE COMPLICATIONS; SPINAL DISEASES; TREATMENT OUTCOME;

EID: 82155162823     PISSN: None     EISSN: 10920684     Source Type: Journal    
DOI: 10.3171/2011.7.FOCUS11145     Document Type: Review

References (62)

1. Akbarnia BA, Ogilvie JW, Hammerberg KW: Debate: degenerative scoliosis: to operate or not to operate. Spine (Phila Pa 1976) 31 (19 Suppl):S195-S201, 2006
2. Althausen PL, Gupta MC, Benson DR, Jones DA: The use of neostigmine to treat postoperative ileus in orthopedic spinal patients. J Spinal Disord 14:541-545, 2001
3. American Academy of Orthopaedic Surgeons: The Burden of Musculoskeletal Diseases in the United States: Prevalence, Societal and Economic Cost. Rosemont, IL: American Academy of Orthopaedic Surgeons, 2008
4. Anand N, Baron EM, Thaiyananthan G, Khalsa K, Goldstein TB: Minimally invasive multilevel percutaneous correction and fusion for adult lumbar degenerative scoliosis: a technique and feasibility study. J Spinal Disord Tech 21:459-467, 2008
5. Arinzon Z, Adunsky A, Fidelman Z, Gepstein R: Outcomes of decompression surgery for lumbar spinal stenosis in elderly diabetic patients. Eur Spine J 13:32-37, 2004
6. Baron EM, Albert TJ: Medical complications of surgical treatment of adult spinal deformity and how to avoid them. Spine (Phila Pa 1976) 31 (19 Suppl):S106-S118, 2006
7. Benz RJ, Ibrahim ZG, Afshar P, Garfin SR: Predicting complications in elderly patients undergoing lumbar decompression. Clin Orthop Relat Res 384:116-121, 2001
8. Bess S, Boachie-Adjei O, Burton D, Cunningham M, Shaffrey C, Shelokov A, et al: Pain and disability determine treatment modality for older patients with adult scoliosis, while deformity guides treatment for younger patients. Spine (Phila Pa 1976) 34:2186-2190, 2009
9. Best NM, Sasso RC: Outpatient lumbar spine decompression in 233 patients 65 years of age or older. Spine (Phila Pa 1976) 32:1135-1140, 2007
10. Canalis E, Giustina A, Bilezikian JP: Mechanisms of anabolic therapies for osteoporosis. N Engl J Med 357:905-916, 2007
11. Carmichael P, Carmichael AR: Acute renal failure in the surgical setting. ANZ J Surg 73:144-153, 2003
12. Carreon LY, Puno RM, Dimar JR II, Glassman SD, Johnson JR: Perioperative complications of posterior lumbar decompression and arthrodesis in older adults. J Bone Joint Surg Am 85-A:2089-2092, 2003
13. Cassinelli EH, Eubanks J, Vogt M, Furey C, Yoo J, Bohlman HH: Risk factors for the development of perioperative complications in elderly patients undergoing lumbar decompression and arthrodesis for spinal stenosis: an analysis of 166 patients. Spine (Phila Pa 1976) 32:230-235, 2007
14. Cloyd JM, Acosta FL Jr, Ames CP: Complications and out comes of lumbar spine surgery in elderly people: a review of the literature. J Am Geriatr Soc 56:1318-1327, 2008
15. Daubs MD, Lenke LG, Cheh G, Stobbs G, Bridwell KH: Adult spinal deformity surgery: complications and outcomes in patients over age 60. Spine (Phila Pa 1976) 32:2238-2244, 2007
16. Dearborn JT, Hu SS, Tribus CB, Bradford DS: Thromboembolic complications after major thoracolumbar spine surgery. Spine (Phila Pa 1976) 24:1471-1476, 1999
17. DeWald CJ, Stanley T: Instrumentation-related complications of multilevel fusions for adult spinal deformity patients over age 65: surgical considerations and treatment options in patients with poor bone quality. Spine (Phila Pa 1976) 31 (19 Suppl):S144-S151, 2006
18. Di Silvestre M, Lolli F, Bakaloudis G, Parisini P: Dynamic stabilization for degenerative lumbar scoliosis in elderly patients. Spine (Phila Pa 1976) 35:227-234, 2010
19. Dipaola CP, Bible JE, Biswas D, Dipaola M, Grauer JN, Rechtine GR: Survey of spine surgeons on attitudes regarding osteoporosis and osteomalacia screening and treatment for fractures, fusion surgery, and pseudoarthrosis. Spine J 9:537-544, 2009
20. Federal Interagency Forum on Aging-Related Statistics: 2006 Older American Update: Key Indicator of Wellness. (http://www.agingstats.gov/agingstatsdotnet/Main_Site/Data/Data_2006.aspx) [Accessed August 8, 2011]
21. Galiano K, Obwegeser AA, Gabl MV, Bauer R, Twerdy K: Long-term outcome of laminectomy for spinal stenosis in octogenarians. Spine (Phila Pa 1976) 30:332-335, 2005
22. Gepstein R, Arinzon Z, Adunsky A, Folman Y: Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction. Spinal Cord 44:427-431, 2006
23. Glassman SD, Berven S, Kostuik J, Dimar JR, Horton WC, Bridwell K: Nonsurgical resource utilization in adult spinal deformity. Spine (Phila Pa 1976) 31:941-947, 2006
24. Glassman SD, Hamill CL, Bridwell KH, Schwab FJ, Dimar JR, Lowe TG: The impact of perioperative complications on clinical outcome in adult deformity surgery. Spine (Phila Pa 1976) 32:2764-2770, 2007
25. Greenfield RT III, Capen DA, Thomas JC Jr, Nelson R, Nagelberg S, Rimoldi RL, et al: Pedicle screw fixation for arthrodesis of the lumbosacral spine in the elderly. An outcome study. Spine (Phila Pa 1976) 23:1470-1475, 1998
26. Guigoz Y, Lauque S, Vellas BJ: Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 18:737-757, 2002
27. Haefeli M, Elfering A, Aebi M, Freeman BJC, Fritzell P, Guimaraes Consciencia J, et al: What comprises a good outcome in spinal surgery? A preliminary survey among spine surgeons of the SSE and European spine patients. Eur Spine J 17:104-116, 2008
28. Harbrecht PJ, Garrison RN, Fry DE: Surgery in elderly patients. South Med J 74:594-598, 1981
29. Jo DJ, Jun JK, Kim KT, Kim SM: Lumber interbody fusion outcomes in degenerative lumbar disease. Comparison of results between patients over and under 65 years of age. J Korean Neurosurg Soc 48:412-418, 2010
30. Jönsson B, Strömqvist B: Lumbar spine surgery in the elderly. Complications and surgical results. Spine (Phila Pa 1976) 19:1431-1435, 1994
31. Jules-Elysee K, Urban MK, Urquhart B, Milman S: Troponin I as a diagnostic marker of a perioperative myocardial infarction in the orthopedic population. J Clin Anesth 13:556-560, 2001
32. Kagansky N, Berner Y, Koren-Morag N, Perelman L, Knobler H, Levy S: Poor nutritional habits are predictors of poor outcome in very old hospitalized patients. Am J Clin Nutr 82:784-791, 2005
33. Kilinçer C, Steinmetz MP, Sohn MJ, Benzel EC, Bingaman W: Effects of age on the perioperative characteristics and short-term outcome of posterior lumbar fusion surgery. J Neurosurg Spine 3:34-39, 2005
34. Kudsk KA, Tolley EA, DeWitt RC, Janu PG, Blackwell AP, Yeary S, et al: Preoperative albumin and surgical site identify surgical risk for major postoperative complications. JPEN J Parenter Enteral Nutr 27:1-9, 2003
35. Li G, Passias P, Kozanek M, Fu E, Wang S, Xia Q, et al: Adult scoliosis in patients over sixty-five years of age: outcomes of operative versus nonoperative treatment at a minimum twoyear follow-up. Spine (Phila Pa 1976) 34:2165-2170, 2009
36. MacDonald JB: Presentation of acute myocardial infarction in the elderly-a review. Age Ageing 13:196-200, 1984
37. Milledge JS, Nunn JF: Criteria of fitness for anaesthesia in patients with chronic obstructive lung disease. BMJ 3:670-673, 1975
38. Möller H, Hedlund R: Instrumented and noninstrumented posterolateral fusion in adult spondylolisthesis-a prospective randomized study: part 2. Spine (Phila Pa 1976) 25:1716-1721, 2000
39. Oldridge NB, Yuan Z, Stoll JE, Rimm AR: Lumbar spine surgery and mortality among Medicare beneficiaries, 1986. Am J Public Health 84:1292-1298, 1994
40. Ozkalkanli MY, Ozkalkanli DT, Katircioglu K, Savaci S: Comparison of tools for nutrition assessment and screening for predicting the development of complications in orthopedic surgery. Nutr Clin Pract 24:274-280, 2009
41. Quigley MR, Kortyna R, Goodwin C, Maroon JC: Lumbar surgery in the elderly. Neurosurgery 30:672-674, 1992
42. Raffo CS, Lauerman WC: Predicting morbidity and mortality of lumbar spine arthrodesis in patients in their ninth decade. Spine (Phila Pa 1976) 31:99-103, 2006
43. Ragab AA, Fye MA, Bohlman HH: Surgery of the lumbar spine for spinal stenosis in 118 patients 70 years of age or older. Spine (Phila Pa 1976) 28:348-353, 2003
44. Rokito SE, Schwartz MC, Neuwirth MG: Deep vein thrombosis after major reconstructive spinal surgery. Spine (Phila Pa 1976) 21:853-859, 1996
45. Rosen DS, O'Toole JE, Eichholz KM, Hrubes M, Huo D, Sandhu FA, et al: Minimally invasive lumbar spinal decompression in the elderly: outcomes of 50 patients aged 75 years and older. Neurosurgery 60:503-510, 2007
46. Rowe JW, Andres R, Tobin JD, Norris AH, Shock NW: The effect of age on creatinine clearance in men: a cross-sectional and longitudinal study. J Gerontol 31:155-163, 1976
47. Scheufler KM, Cyron D, Dohmen H, Eckardt A: Less invasive surgical correction of adult degenerative scoliosis. Part II: Complications and clinical outcome. Neurosurgery 67:1609-1621, 2010
48. Schlenk RP, Kowalski RJ, Benzel EC: Biomechanics of spinal deformity. Neurosurg Focus 14(1):e2, 2003
49. Schneider SM, Veyres P, Pivot X, Soummer AM, Jambou P, Filippi J, et al: Malnutrition is an independent factor associated with nosocomial infections. Br J Nutr 92:105-111, 2004
50. Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang K, Pagala M, et al: Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine (Phila Pa 1976) 30:1082-1085, 2005
51. Schwab FJ, Lafage V, Farcy JP, Bridwell KH, Glassman S, Shainline MR: Predicting outcome and complications in the surgical treatment of adult scoliosis. Spine (Phila Pa 1976) 33:2243-2247, 2008
52. Shabat S, Arinzon Z, Folman Y, Leitner J, David R, Pevzner E, et al: Long-term outcome of decompressive surgery for lumbar spinal stenosis in octogenarians. Eur Spine J 17:193-198, 2008
53. Shapiro G, Green DW, Fatica NS, Boachie-Adjei O: Medical complications in scoliosis surgery. Curr Opin Pediatr 13: 36-41, 2001
54. Smith JS, Shaffrey CI, Glassman SD, Berven SH, Schwab FJ, Hamill CL, et al: Risk-benefit assessment of surgery for adult scoliosis: an analysis based on patient age. Spine (Phila Pa 1976) 36:817-824, 2011
55. Takahashi S, Delécrin J, Passuti N: Surgical treatment of idiopathic scoliosis in adults: an age-related analysis of outcome. Spine (Phila Pa 1976) 27:1742-1748, 2002
56. Thongtrangan I, Le H, Park J, Kim DH: Minimally invasive spinal surgery: a historical perspective. Neurosurg Focus 16(1):E13, 2004
57. Tisi GM: Preoperative evaluation of pulmonary function. Validity, indications, and benefits. Am Rev Respir Dis 119:293-310, 1979
58. Vellas B, Lauque S, Andrieu S, Nourhashemi F, Rolland Y, Baumgartner R, et al: Nutrition assessment in the elderly. Curr Opin Clin Nutr Metab Care 4:5-8, 2001
59. Wang MY, Green BA, Shah S, Vanni S, Levi AD: Complications associated with lumbar stenosis surgery in patients older than 75 years of age. Neurosurg Focus 14(2):e7, 2003
60. Weidenbaum M: Considerations for focused surgical intervention in the presence of adult spinal deformity. Spine (Phila Pa 1976) 31 (19 Suppl):S139-S143, 2006
61. West JL III, Anderson LD: Incidence of deep vein thrombosis in major adult spinal surgery. Spine (Phila Pa 1976) 17 (8 Suppl):S254-S257, 1992
62. Zheng F, Sandhu HS, Cammisa FP Jr, Girardi FP, Khan SN: Predictors of functional outcome in elderly patients undergoing posterior lumbar spine surgery. J Spinal Disord 14:518-521, 2001