脊柱外科手术的结果在nonagenarians与octogenarians相比:一个倾向匹配的分析
Takashi Sono1, Takayoshi Shimizu1, Koichi Murata1
1Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Sakyo, Kyoto, Japan.
World neurosurgery
|September 29, 2025
概括
在非老年人中,脊椎手术的结果与八十岁人相似,尽管手术前得分较低. 仔细的选择确保了接受脊柱手术的最年长的患者获得令人满意的结果.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 神经外科 神经外科
背景情况:
- 脊椎手术在八十岁的人群中很常见,但在非老年人群中不太常见.
- 现有的研究往往侧重于死亡率和并发症,对康复结果的数据有限.
- 这项研究通过比较非老年人和80岁之间脊柱手术结果来弥补这一差距.
研究的目的:
- 为了比较临床结果和脊柱外科手术的恢复率在nonagenarians与八十岁的.
- 评估脊柱手术在老年人群中的可行性和有效性.
- 确定影响80岁及以上患者手术成功的因素.
主要方法:
- 在2017-2022年期间,对80-99岁的患者进行了退行性疾病或创伤的脊椎手术的回顾性研究.
- 根据性别,BMI,修改的脆弱指数5和ASA等级,患者与1:1匹配.
- 分析包括手术前/手术后日本整形医学协会 (JOA) 评分,JOA康复率和术后并发症.
主要成果:
- 在匹配的队列中,包括41名非老年人和41名八十岁的老年人.
- 非老年人手术前的JOA得分明显较低 (8.9比12.2,P=0.02).
- 在手术后的JOA得分 (15.4比17.6) 或JOA恢复率 (33.6%比38.1%) 中,没有观察到群体之间的显著差异. 外科手术期间的并发症也类似.
结论:
- 尽管手术前功能较差,但非老年人实现了与八岁老年人相比的术后脊柱手术结果和恢复率.
- 脊柱手术对于非老年人来说可能是一个可行的选择,产生令人满意的结果.
- 仔细的患者选择和全面的风险评估对于优化这一老年人群的结果至关重要.
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