Spine Surgery and Related Research
Online ISSN : 2432-261X
ISSN-L : 2432-261X
ORIGINAL ARTICLE
Risk factors of cervical surgery related complications in patients older than 80 years
Koji TamaiHidetomi TeraiAkinobu SuzukiHiroaki NakamuraMasaomi YamashitaYawara EguchiShiro ImagamaKei AndoKazuyoshi KobayashiMorio MatsumotoKen IshiiTomohiro HikataShoji SekiMasaaki AramomiTetsuhiro IshikawaAtsushi KimuraHirokazu InoueGen InoueMasayuki MiyagiWataru SaitoKei YamadaMichio HongoKenji EndoHidekazu SuzukiAtsushi NakanoKazuyuki WatanabeJunichi OhyaHirotaka ChikudaYasuchika AokiMasayuki ShimizuToshimasa FutatsugiKeijiro MukaiyamaMasaichi HasegawaKatsuhito KiyasuHaku IizukaKotaro NishidaKenichiro KakutaniHideaki NakajimaHideki MurakamiSatoru DemuraSatoshi KatoKatsuhito YoshiokaTakashi NamikawaKei WatanabeKazuyoshi NakanishiYukihiro NakagawaMitsunori YoshimotoHiroyasu FujiwaraNorihiro NishidaMasataka SakaneMasashi YamazakiTakashi KaitoTakeo FuruyaSumihisa OritaSeiji Ohtori
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JOURNALS OPEN ACCESS

2017 Volume 1 Issue 4 Pages 179-184

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Abstract

Introduction: With an aging population, the proportion of patients aged ≥80 years requiring cervical surgery is increasing. Surgeons are concerned with the high incidence of complications in this population, because "age" itself has been reported as a strong risk factor for complications. However, it is still unknown which factors represent higher risk among these elderly patients. Therefore, this study was conducted to identify the risk factors related to surgical complications specific to elderly patients by analyzing the registry data of patients aged ≥80 years who underwent cervical surgery.

Methods: We retrospectively studied multicenter collected registry data using multivariate analysis. Sixty-six patients aged ≥80 years who underwent cervical surgery and were followed up for more than one year were included in this study. Preoperative patient demographic data, including comorbidities and postoperative complications, were collected from multicenter registry data. Complications were considered as major if they required invasive intervention, caused prolonged morbidity, or resulted in prolongation of hospital stay. Logistic regression analysis was performed to analyze the risk factors for complications. A p-value of <0.05 was considered as statistically significant.

Results: The total number of patients with complications was 21 (31.8%), with seven major (10.6%) and 14 minor (21.2%) complications. Multivariate logistic regression analysis, after adjusting for age, revealed two significant risk factors: preoperative cerebrovascular disorders (OR, 6.337; p=0.043) for overall complications and cancer history (OR, 8.168; p=0.021) for major complications. Age, presence of diabetes mellitus, and diagnosis were not significant predictive factors for complications in this study.

Conclusions: Preoperative cerebrovascular disorders and cancer history were risk factors for complications after cervical surgery in patients over 80 years old. Surgeons should pay attention to these specific risk factors before performing cervical surgery in elderly patients.

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© 2017 The Japanese Society for Spine Surgery and Related Research.

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