| Changes of Spinal Surgery for Geriatric Patient Through Two Decades in Single Institution |
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Sung Joo Park , Sung Bum Kim , Min Ki Kim , Sung Ho Lee , In Ho Oh , Seok Keun Choi , Bong Jin Park , Young Jin Lim , Tae Sung Kim , Bong Arm Rhee |
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Department of Neurosurgery, Kyung-Hee University College of Medicine, Seoul, Korea |
| 고령 환자에서의 20년 동안의 척추 수술의 변화 |
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박성주ㆍ김승범ㆍ김민기ㆍ이성호ㆍ오인호ㆍ최석근ㆍ박봉진ㆍ임영진ㆍ김태성ㆍ이봉암 |
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경희대학교 의과대학 신경외과학교실 |
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| Abstract |
Objective
The incidence of spinal surgery, including instrumented fusions, is increasing, and progressively involves patients of age 65 and
older. Sometimes many elderly patients are crippled by degenerative spine conditions. We tried to review the changes of spinal surgery for
geriatric patients through two decades among 1991, 2001, and 2011 in single institution.
Methods
The medical records of 1991, 2001, 2011 were sorted and reviewed by using code of spinal surgical name in our institution. The
cases of spinal surgery over than 65 years old were analyzed. Code of surgical name were sorted each spinal surgery and includes simple
discectomy and spinal fusion. Sorted surgical name of 1991 was excluded due to our institution was not had code of surgical name.
Results
Total number of spinal surgery of all ages was 425 cases at 1991, 475 cases at 2001, 971 cases at 2011. Proportion of spinal
surgery in geriatric patients was 6.3% at 1991, 14.1% at 2001, 40.7% at 2011. Simple discectomy for geriatric patients was reduced (59%),
however, spinal fusion was increased to 296%. Decompressive laminectomy and kyphoplasty due to osteoporotic spinal compression fracture
were also increased in geriatric patients. Clinical results and complication according to ages were not different.
Conclusion
We reviewed and analyzed changes of spinal surgery for 20 years. Increase of geriatric spinal surgery was distinctly seen. There
may be many presumptive reasons for increase including geriatric spinal surgery. This may be help for preparation of the time of 10 years
later in spinal surgery patients. |
| Key Words:
Geriatric patientsㆍGeriatric spinal surgery |
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