Abstract:
STUDY DESIGN:Retrospective review. OBJECTIVE:To assess the relationship between age and complications, and report age-stratified complication rates for the surgical treatment of adult scoliosis. SUMMARY OF BACKGROUND DATA:Literature examining age and complication rates for adult scoliosis surgery is conflicting. The Scoliosis Research Society (SRS) morbidity and mortality (M&M) database contains a large series of adult scoliosis patients that can be utilized to investigate this relationship. METHODS:The SRS M&M database was queried from 2004 to 2007 to identify all cases of adult scoliosis. Data pertaining to patient age, complications, scoliosis, and surgery type were extracted from the database. Age-based analyses of clinical parameters were conducted using age as both a stratified categorical variable and as a continuous variable. RESULTS:In our cohort of 5470 adult scoliosis patients, the overall complication rate was 13.5% and there was a 0.3% mortality rate. Patients who experienced complications were significantly older than those without complications (55.9 ± 16.5 yrs vs. 51.2 ± 18.7 yrs, P < 0.001). When complications were stratified according to decade of age, there was also a statistically significant trend of increasing complication rates with each decade of life (P < 0.001). Dural tears were the most common complication in patients over 50 years, whereas implant-related complications were the most common in patients less than 50 years. CONCLUSION:There was a clear association between increasing age and higher rates of major short-term complications, a factor that ought to be taken into account during treatment decision making and patient counseling.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Shaw R,Skovrlj B,Cho SKdoi
10.1097/BRS.0000000000001239subject
Has Abstractpub_date
2016-03-01 00:00:00pages
508-14issue
6eissn
0362-2436issn
1528-1159journal_volume
41pub_type
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