Age as a Predictor for Complications and Patient-reported Outcomes in Multilevel Transforaminal Lumbar Interbody Fusions
| Autor: | Richard Easton, Matthew Bahoura, Chad F Claus, Lucas Garmo, Teck M Soo, Doris Tong, Boyd Richards, Clifford Houseman, Muwaffak Abdulhak, Chenxi Li, Paul Park, Victor Chang, Daniel A Carr, Peter Bono, Evan Lytle |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Michigan medicine.medical_specialty Databases Factual Visual analogue scale Gee 03 medical and health sciences Postoperative Complications 0302 clinical medicine Patient satisfaction Lumbar Predictive Value of Tests Surveys and Questionnaires Internal medicine medicine Humans Orthopedics and Sports Medicine Patient Reported Outcome Measures Registries Intersectoral Collaboration Generalized estimating equation Aged Pain Measurement Retrospective Studies 030222 orthopedics Univariate analysis Lumbar Vertebrae business.industry Urinary retention Age Factors Middle Aged humanities Spinal Fusion Treatment Outcome Patient Satisfaction Female Neurology (clinical) medicine.symptom business Complication 030217 neurology & neurosurgery |
| Zdroj: | Spine. 46:356-365 |
| ISSN: | 1528-1159 0362-2436 |
| Popis: | STUDY DESIGN Retrospective review of a multi-institutional data registry. OBJECTIVE The authors sought to determine the association between age and complications & patient-reported outcomes (PRO) in patients undergoing multilevel transforaminal interbody lumbar fusion (MTLIF). SUMMARY OF BACKGROUND DATA Elderly patients undergoing MTLIF are considered high risk. However, data on complications and PRO are lacking. Additionally, safety of multilevel lumbar fusion in the elderly remains uncertain. METHODS Patients ≥50-year-old who underwent MTLIF for degenerative lumbar spine conditions were analyzed. Ninety-day complications and PROs (baseline, 90-d, 1-y, 2-y) were queried using the MSSIC database. PROs were measured by back & leg visual analog scale (VAS), Patient-reported Outcomes Measurement Information System (PROMIS), EuroQol-5D (EQ-5D), and North American Spine Society (NASS) Patient Satisfaction Index. Univariate analyses were used to compare among elderly and complication cohorts. Generalized estimating equation (GEE) was used to identify predictors of complications and PROs. RESULTS A total of 3120 patients analyzed with 961 (31%) ≥ 70-y-o and 2159 (69%) between 50-69. A higher proportion of elderly experienced postoperative complications (P = .003) including urinary retention (P = |
| Databáze: | OpenAIRE |
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