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[Spine surgery in elderly: place and indication].

Jean-Paul Steib1

  • 1Service de chirurgie du rachis, hôpital de Hautepierre 2 - Hôpitaux universitaires de Strasbourg, Strasbourg, France.

La Revue Du Praticien
|September 23, 2021
PubMed
Summary

Spine surgery offers viable solutions for mechanical issues in elderly patients, addressing pain and mobility loss. Advances in anesthesia and minimally invasive techniques expand surgical indications, improving independence and quality of life.

Keywords:
AgingOrthopedic ProceduresSpineSurgical Procedures

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Area of Science:

  • Geriatric Medicine
  • Neurosurgery
  • Orthopedic Surgery

Background:

  • Aging significantly impacts spinal structures, leading to pain, balance issues, and reduced independence.
  • Mechanical spinal problems in the elderly often manifest as pain, gait disturbances, and deformities.

Purpose of the Study:

  • To outline the indications and place of spine surgery in the elderly population.
  • To highlight the benefits of modern surgical techniques for age-related spinal conditions.

Main Methods:

  • Review of surgical interventions for common elderly spinal pathologies.
  • Discussion of advancements in anesthesiology and minimally invasive spine surgery (MISS).

Main Results:

  • Vertebroplasty is effective for osteoporotic fractures.
  • Decompression for spinal stenosis restores normal gait.
  • Osteosynthesis addresses spinal instability, deformity, and metastasis.
  • Disc arthroplasty is an option for uncodiscarthrosis.
  • Immediate post-operative mobilization is common, often without bracing.

Conclusions:

  • Spine surgery is a feasible and beneficial option for elderly patients with mechanical spinal issues.
  • Modern surgical advancements, including MISS, have expanded the safety and efficacy of spine surgery in older adults.
  • It is crucial to overcome the reluctance to operate on elderly patients, ensuring appropriate diagnosis and treatment for spinal conditions.