Does Spinal Surgery in Elderly Patients (Over 80 Years-Old) Lead to More Early Post-Operative Complications Than Lower Limb Prosthetic Surgery?
Purpose: Patients and surgeons may be reluctant on spinal surgery over 80 years old, fearing medical complications despite the possible improvement on quality of life. However, fewer reservations for lower limb prosthetic surgery (LLPS) seem to be arisen in this population. Is spinal surgery after 8...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-01-01
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| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/23337214231225841 |
| _version_ | 1797351207940915200 |
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| author | Laura Marie-Hardy MD, MSc Marc Khalifé MD, PhD Raphaël Pietton MD, MSc Marie-Eva Rollet MD, MSc L. Boissière MD, MSc J. Cohen-Bittan MD H. Pascal-Moussellard MD, PhD |
| author_facet | Laura Marie-Hardy MD, MSc Marc Khalifé MD, PhD Raphaël Pietton MD, MSc Marie-Eva Rollet MD, MSc L. Boissière MD, MSc J. Cohen-Bittan MD H. Pascal-Moussellard MD, PhD |
| author_sort | Laura Marie-Hardy MD, MSc |
| collection | DOAJ |
| description | Purpose: Patients and surgeons may be reluctant on spinal surgery over 80 years old, fearing medical complications despite the possible improvement on quality of life. However, fewer reservations for lower limb prosthetic surgery (LLPS) seem to be arisen in this population. Is spinal surgery after 80 years-old responsible of more complications than lower limb surgery? Methods: The consecutive files of 164 patients over 80 years that had spinal surgery or LLPS were analyzed. The data collected pre-operatively were demographic, clinical and post-operatively the number and types of medical complications and length of stay. Results: The mean number of medical complications was 1.11 ± 0.6 [0–6] for spinal surgery and 1.09 ± 1.0 [0–3] for LLPS, ( p = 0,87). The length of stay in orthopedic unit was comparable between the two groups: 10.7 ± 4.9 days [2–36] for SS and 10.7 ± 3.0 days [5–11] for LLPS ( p = 0,96). Conclusion: The global rate of peri-operative complications and the length of hospital stay were similar between spinal surgery and lower limb prosthetic surgery. These results may be explained by the rising cooperation between geriatric specialist and surgeons and the development of mini-invasive surgical technics, diminishing the early post-operative complication rates. |
| first_indexed | 2024-03-08T12:57:03Z |
| format | Article |
| id | doaj.art-3975765e0a3b4207a52107086b8eceda |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-03-08T12:57:03Z |
| publishDate | 2024-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-3975765e0a3b4207a52107086b8eceda2024-01-19T16:03:37ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142024-01-011010.1177/23337214231225841Does Spinal Surgery in Elderly Patients (Over 80 Years-Old) Lead to More Early Post-Operative Complications Than Lower Limb Prosthetic Surgery?Laura Marie-Hardy MD, MSc0Marc Khalifé MD, PhD1Raphaël Pietton MD, MSc2Marie-Eva Rollet MD, MSc3L. Boissière MD, MSc4J. Cohen-Bittan MD5H. Pascal-Moussellard MD, PhD6Pitié-Salpétrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, FranceHôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, 20, rue Leblanc, Paris, France; Université de Paris, Paris, FrancePitié-Salpétrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, FrancePitié-Salpétrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, FranceHôpital Pellegrin, University Hospital of Bordeaux, Place Amélie Raba-Léon, Bordeaux, FranceUnit of Peri-Operative Geriatric Care, Assistance Publique Hôpitaux de Paris (APHP), Hôpital la Pitié-Salpêtrière, Paris, FrancePitié-Salpétrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, FrancePurpose: Patients and surgeons may be reluctant on spinal surgery over 80 years old, fearing medical complications despite the possible improvement on quality of life. However, fewer reservations for lower limb prosthetic surgery (LLPS) seem to be arisen in this population. Is spinal surgery after 80 years-old responsible of more complications than lower limb surgery? Methods: The consecutive files of 164 patients over 80 years that had spinal surgery or LLPS were analyzed. The data collected pre-operatively were demographic, clinical and post-operatively the number and types of medical complications and length of stay. Results: The mean number of medical complications was 1.11 ± 0.6 [0–6] for spinal surgery and 1.09 ± 1.0 [0–3] for LLPS, ( p = 0,87). The length of stay in orthopedic unit was comparable between the two groups: 10.7 ± 4.9 days [2–36] for SS and 10.7 ± 3.0 days [5–11] for LLPS ( p = 0,96). Conclusion: The global rate of peri-operative complications and the length of hospital stay were similar between spinal surgery and lower limb prosthetic surgery. These results may be explained by the rising cooperation between geriatric specialist and surgeons and the development of mini-invasive surgical technics, diminishing the early post-operative complication rates.https://doi.org/10.1177/23337214231225841 |
| spellingShingle | Laura Marie-Hardy MD, MSc Marc Khalifé MD, PhD Raphaël Pietton MD, MSc Marie-Eva Rollet MD, MSc L. Boissière MD, MSc J. Cohen-Bittan MD H. Pascal-Moussellard MD, PhD Does Spinal Surgery in Elderly Patients (Over 80 Years-Old) Lead to More Early Post-Operative Complications Than Lower Limb Prosthetic Surgery? Gerontology and Geriatric Medicine |
| title | Does Spinal Surgery in Elderly Patients (Over 80 Years-Old) Lead to More Early Post-Operative Complications Than Lower Limb Prosthetic Surgery? |
| title_full | Does Spinal Surgery in Elderly Patients (Over 80 Years-Old) Lead to More Early Post-Operative Complications Than Lower Limb Prosthetic Surgery? |
| title_fullStr | Does Spinal Surgery in Elderly Patients (Over 80 Years-Old) Lead to More Early Post-Operative Complications Than Lower Limb Prosthetic Surgery? |
| title_full_unstemmed | Does Spinal Surgery in Elderly Patients (Over 80 Years-Old) Lead to More Early Post-Operative Complications Than Lower Limb Prosthetic Surgery? |
| title_short | Does Spinal Surgery in Elderly Patients (Over 80 Years-Old) Lead to More Early Post-Operative Complications Than Lower Limb Prosthetic Surgery? |
| title_sort | does spinal surgery in elderly patients over 80 years old lead to more early post operative complications than lower limb prosthetic surgery |
| url | https://doi.org/10.1177/23337214231225841 |
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