Spine Surgeons Are Facing the Great Challenge of Contributing to the Realization of a Society of Health and Longevity

Takami, Toshihiro

doi:10.14245/ns.19edi.019

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…The elderly population has recently been increasing due to extended life expectancy, leading to an increase in the number of patients with degenerative spinal diseases and, thus, the number of spine surgeries. Therefore, spine surgeons are managing an increasing number of elderly people with spinal disorders and aging of the spine [ 3 , 4 , 5 , 6 ]. Moreover, these patients usually have an increased number of comorbidities, severe spinal degeneration, and reduced bone mineral density [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease

Kim

Jeon

et al. 2021

JCM

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Cognitive status has been reported to affect the peri-operative and post-operative outcomes of certain surgical procedures. This prospective study investigated the effect of preoperative cognitive impairment on the postoperative course of elderly patients (n = 122, >65 years), following spine surgery for degenerative spinal disease. Data on demographic characteristics, medical history, and blood analysis results were collected. Preoperative cognition was assessed using the mini-mental state examination, and patients were divided into three groups: normal cognition, mild cognitive impairment, and moderate-to-severe cognitive impairment. Discharge destinations (p = 0.014) and postoperative cardiopulmonary complications (p = 0.037) significantly differed based on the cognitive status. Operation time (p = 0.049), white blood cell count (p = 0.022), platelet count (p = 0.013), the mini-mental state examination score (p = 0.033), and the Beck Depression Inventory score (p = 0.041) were significantly associated with the length of hospital stay. Our investigation demonstrated that improved understanding of preoperative cognitive status may be helpful in surgical decision-making and postoperative care of elderly patients with degenerative spinal disease.

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