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KMID : 0388720230300040182
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Journal of Korean Society of Spine Surgery
2023 Volume.30 No. 4 p.182 ~ p.190
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Super-Aged Society and the Surgical Management of Geriatric Spinal Diseases
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Park Hyung-Youl
Kim Young-Hoon
Park Ye-Soo
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Abstract
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Objective: To identify factors affecting the outcomes of spinal surgery and suggest treatment options to reduce complications and improve recovery in geriatric patients.
Summary of Literature Review: Postoperative complications of spinal surgery in geriatric patients have been reported to be relatively frequent, and their clinical outcomes are also poor compared to young healthy patients. Recently, positive results have been reported with the advancement of surgical techniques and increasing consideration of geriatric patients.
Materials and Methods: Review of the relevant articles Results: Although spinal surgery in geriatric patients has become increasingly common with the coming super-aged society, postoperative complications due to aging have also been increasingly reported. For geriatric patients undergoing spine surgery, careful consideration for osteoporosis, osteopenia, nutritional status, and co-morbidities is warranted, and perioperative management should aim to prevent postoperative complications and provide better clinical outcomes. Regarding the surgical treatments for geriatric spine diseases, computer-assisted orthopedic surgery helps to decide preoperative planning and perform safe and accurate spinal surgery.
Minimally invasive spine surgery can be considered to minimize postoperative complications and promote fast recovery for elderly patients. Applications of enhanced recovery after surgery and prevention of postoperative delirium also should be made to enable these patients to perform independent daily activities and return home.
Conclusions: Consideration of multiple factors through a multidisciplinary approach is warranted for spinal surgery in elderly patients. Computer-assisted orthopedic surgery and minimally invasive spine surgery could prevent postoperative complications for geriatric patients. Enhanced recovery and rehabilitation after surgery should also be areas of focus.
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KEYWORD
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Geriatrics, Osteoporosis, Sarcopenia, Spine surgery, Complications
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