지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Advanced age is a well-known risk factor for spinal surgery-related complications. Decisions on spine surgery in the elderly are difficult due to higher morbidity and mortality than in younger age groups. In addition, spine surgery is a kind of ‘functional surgery’ which does not directly affect the survival of patients. In recent years, individualized risk stratification has gained ground over simple chronological age-based assessment. In the elderly, frailty is one of the strongest factors which affect surgical outcomes for both cervical and thoracolumbar spine surgery, regardless of the surgical technique used. Spine surgery in the elderly have worse surgical outcomes in terms of duration of hospital stay, degree of functional recovery, and complication, readmission, and mortality rates. However, the benefit of spine surgery even in the very-elderly is substantial. In conclusion, surgical decisions should be made based on both personalized risk assessment and benefits of surgery. Recent advanced surgical techniques such as minimally invasive surgical techniques and robotics assistance are likely to be helpful in minimizing surgical complications. Therefore, advanced age in itself should not be considered as a contraindication for spine surgery.
목차
등록된 정보가 없습니다.
참고문헌 (54)
참고문헌 신청
Brallier JW / 2015 / The elderly spine surgery patient : preand intraoperative management of drug therapy / Drugs Aging 32:601~609
김광일 / 2010 / 노쇠 / Annals of geriatric medicine and research 14(1):1~7
Makary MA / 2010 / Frailty as a predictor of surgical outcomes in older patients / J Am Coll Surg 210:901~908
Motoyuki Umekawa / 2019 / Complications of Spine Surgery in Elderly Japanese Patients: Implications for Future of World Population Aging / Neurospine 16(4):780~788
Joshua Yuan-Wang Tan / 2019 / Is Spinal Surgery Safe for Elderly Patients Aged 80 and Above? Predictors of Mortality and Morbidity in an Asian Population / Neurospine 16(4):764~769
김광일 / 2010 / 노쇠 / Annals of geriatric medicine and research 14(1):1~7
Makary MA / 2010 / Frailty as a predictor of surgical outcomes in older patients / J Am Coll Surg 210:901~908
Motoyuki Umekawa / 2019 / Complications of Spine Surgery in Elderly Japanese Patients: Implications for Future of World Population Aging / Neurospine 16(4):780~788
Joshua Yuan-Wang Tan / 2019 / Is Spinal Surgery Safe for Elderly Patients Aged 80 and Above? Predictors of Mortality and Morbidity in an Asian Population / Neurospine 16(4):764~769
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