دورية أكاديمية
Cement Augmentation of Vertebral Compression Fractures May Be Safely Considered in the Very Elderly
| العنوان: | Cement Augmentation of Vertebral Compression Fractures May Be Safely Considered in the Very Elderly |
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| المؤلفون: | Anoop R. Galivanche, Courtney Toombs, Murillo Adrados, Wyatt B. David, Rohil Malpani, Comron Saifi, Peter G. Whang, Jonathan N. Grauer, Arya G. Varthi |
| المصدر: | Neurospine, Vol 18, Iss 1, Pp 226-233 (2021) |
| بيانات النشر: | Korean Spinal Neurosurgery Society, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | vertebroplasty, kyphoplasty, elderly, nonagenarian, geriatrics, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Objective The objective of the current study was to perform a retrospective review of a national database to assess the safety of cement augmentation for vertebral compression fractures in geriatric populations in varying age categories. Methods The 2005–2016 National Surgical Quality Improvement Program databases were queried to identify patients undergoing kyphoplasty or vertebroplasty in the following age categories: 60–69, 70–79, 80–89, and 90+ years old. Demographic variables, comorbidity status, procedure type, provider specialty, inpatient/outpatient status, number of procedure levels, and periprocedure complications were compared between age categories using chi-square analysis. Multivariate logistic regressions controlling for patient and procedural variables were then performed to assess the relative periprocedure risks of adverse outcomes of patients in the different age categories relative to those who were 60–69 years old. Results For the 60–69, 70–79, 80–89, and 90+ years old cohorts, 486, 822, 937, and 215 patients were identified, respectively. After controlling for patient and procedural variables, 30-day any adverse events, serious adverse events, reoperation, readmission, and mortality were not different for the respective age categories. Cases in the 80- to 89-year-old cohort were at increased risk of minor adverse events compared to cases in the 60- to 69-year-old cohort. Conclusion As the population ages, cement augmentation is being considered as a treatment for vertebral compression fractures in increasingly older patients. These results suggest that even the very elderly may be appropriately considered for these procedures (level of evidence: 3). |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2586-6583 2586-6591 |
| Relation: | http://www.e-neurospine.org/upload/pdf/ns-2040620-310.pdf; https://doaj.org/toc/2586-6583; https://doaj.org/toc/2586-6591 |
| DOI: | 10.14245/ns.2040620.310 |
| URL الوصول: | https://doaj.org/article/bc381117e69046d68a982cdebf8b2a46 |
| رقم الأكسشن: | edsdoj.bc381117e69046d68a982cdebf8b2a46 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25866583 25866591 |
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| DOI: | 10.14245/ns.2040620.310 |