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The Aging Population Faces Increased Risk for Musculoskeletal Pathologies: The Problematic Atlas-Axis Instability
Antonia Nituleasa1, Elizabeth D Liu2, Ryan F Amidon3
1Cell, Molecular, and Developmental Biology, University of California Riverside, Riverside, USA.
Cureus
|June 18, 2021
Summary
Spinal cord injury (SCI) in the elderly can stem from non-traumatic causes like pannus formation. This case highlights rapid neurological decline and challenges in managing elderly patients with severe SCI.
Area of Science:
- Neurology
- Geriatrics
- Spinal Surgery
Background:
- Traumatic spinal cord injury (SCI) is common in the elderly.
- Non-traumatic SCI etiologies are increasing in the geriatric population.
- Pannus formation, from chronic spinal inflammation, can cause SCI and neurological decline.
Observation:
- An elderly woman presented with sudden quadriplegia, no trauma history.
- Radiography showed upper cervical instability and fracture.
- A large erosive pannus formation was identified as the cause.
Findings:
- Pannus formation can lead to severe spinal cord injury and rapid neurological deterioration.
- Elderly patients with severe SCI may have limited neurological recovery.
- Management decisions in elderly SCI patients often prioritize medical care and end-of-life considerations over surgery.
Implications:
- Highlights the importance of considering non-traumatic causes of SCI in the elderly.
- Underscores the challenges in surgical decision-making for geriatric SCI patients.
- Emphasizes the need for tailored management strategies, including palliative care, for elderly individuals with severe SCI.
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