Spine Surgery Effective for Senior Population

Spine Surgery Effective for Senior Population

Spine Surgery Effective for Senior Population

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There is a healthy fear of spine surgery,  especially in the senior citizen population.  At the same time,  so many are in such pain,  there is a willingness to have spine surgery.  Luckily,  there is evidence that Spine Surgery is safe for the over 80 year old population.

In the February 4, 2015 edition of the Journal of Bone and Joint Surgery (http://jbjs.org/content/97/3/177),  Dr. Rihn et al presented “Effectiveness of Surgery for Lumbar Stenosis and Degenerative Spondylolithesis in the Octogenarian Population”.

To summarize the findings,  the Spine Patient Outcomes Research Trial data was analysed comparing the results of spinal stenosis and spondylolithesis surgery patients younger than 80 years of age,  to those 80 years and older.

58 patients greater than 80 years olds had surgery.  749 patients younger than 80 years had surgery.    When comparing the results,  both groups had significant benefit from surgery.  Most importantly,  the older group did not have any greater a risk for complications.  

Highlights of the data show the older population to have higher rates of high blood pressure,  heart problems,  and bone problems.  The older population,  however,  were thinner,  smoked less, and had less depression.

Analysis of the surgeries performed,  indicated the older population had more simple laminectomies (“removal of bone spurs”),  and less bone fusions.

To be fair to the study,  the results were similar,  but the types of surgeries performed,  and the type of patients that had surgery was different.

For the over 80 years old crowd,  it is still good news.  If you have severe stenosis,  and do not improve with non-surgical care,  surgery may still be an option.  Ultimately,  you and your surgeon must match the surgical option to your complaints,  test results,  and your current medical conditions.  Prudent surgeons will still weigh the risks versus the potential benefits.  By this data,  at least it does not show any significant increased risk for properly selected individuals.

Citations

  • Rihn JA, Hilibrand AS, Zhao W, Lurie JD, Vaccaro AR, Albert TJ, Weinstein J. Effectiveness of surgery for lumbar stenosis and degenerative spondylolisthesis in the octogenarian population: analysis of the Spine Patient Outcomes Research Trial (SPORT) data. J Bone Joint Surg Am. 2015 Feb 4;97(3):177-85. PubMed PMID: 25653317

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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