2022
DOI: 10.1097/brs.0000000000004384
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Frailty and Sarcopenia: Impact on Outcomes Following Elective Degenerative Lumbar Spine Surgery

Abstract: Study Design. This is a retrospective review of prospectively collected data. Objective. The aim was to evaluate the impact of frailty and sarcopenia on outcomes after lumbar spine surgery. Summary of Background Data. Elderly patients are commonly diagnosed with degenerative spine disease requiring surgical intervention. Frailty and sarcopenia result from age-related decline in physiological reserve and can be associated with complications after elective spine surgery. Little is known about the impact of t… Show more

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Cited by 20 publications
(15 citation statements)
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“…Regarding the predictive value of complications, our observations are consistent with the findings of previous studies that have evaluated large-scale datasets to assess the predictive value of mFI-5 with regard to selected perioperative complications, particularly in the field of orthopedic surgery. 36 …”
Section: Discussionmentioning
confidence: 99%
“…Regarding the predictive value of complications, our observations are consistent with the findings of previous studies that have evaluated large-scale datasets to assess the predictive value of mFI-5 with regard to selected perioperative complications, particularly in the field of orthopedic surgery. 36 …”
Section: Discussionmentioning
confidence: 99%
“…14 Chotai et al reported that frailty was associated with worse postoperative HRQOL in older patients with LSS. 15 Meanwhile, Sugimoto et al showed that frailty did not | 119 affect surgical efficacy in patients with LSS. 14 LSS is involved in both locomotive syndrome and frailty in old patients.…”
Section: Discussionmentioning
confidence: 99%
“…13,14 Meanwhile, the impact of frailty on surgical outcomes in patients with LSS remains controversial. 14,15 In Japan, which has a super-aging population, the concept of locomotive syndrome, which is defined as decreased mobility due to aging, was proposed. 16 Locomotive syndrome is classified to stages according to its severity.…”
Section: Introductionmentioning
confidence: 99%
“…A bridge between scoring utilities and sarcopenia is established in our third paper, which also widens the lens of frailty assessment beyond adult deformity and into lumbar spine surgical interventions as a whole 9. In their retrospective review of the Vanderbilt spine surgical registry, Chotai and colleagues characterized frailty using the mFI-5 and quantified sarcopenia via measurement of total psoas area.…”
mentioning
confidence: 99%
“…A bridge between scoring utilities and sarcopenia is established in our third paper, which also widens the lens of frailty assessment beyond adult deformity and into lumbar spine surgical interventions as a whole. 9 In their retrospective review of the Vanderbilt spine surgical registry, Chotai and colleagues characterized frailty using the mFI-5 and quantified sarcopenia via measurement of total psoas area. Within this cohort of 448 patients undergoing standalone lumbar decompression or decompression and fusion up to four levels for degenerative lumbar conditions the authors found that frailty was associated with longer postsurgical hospital stays and worse 12-month HRQL.…”
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confidence: 99%