Surgical Decision for Elderly Spine Deformity Patient
- Author:
Yong Chan KIM
1
;
Hyung Suk JUH
;
Keunho LEE
Author Information
- Publication Type:Review
- Keywords: elderly spine deformity patient; deformity correction operation; osteoporosis; medical comorbidity; total body sagittal alignment
- MeSH: Aged; Comorbidity; Compensation and Redress; Congenital Abnormalities; Densitometry; Geriatrics; Hand; Humans; Lower Extremity; Osteogenesis; Osteoporosis; Pelvis; Postoperative Complications; Posture; Spine; Teriparatide
- From:The Journal of the Korean Orthopaedic Association 2019;54(1):1-8
- CountryRepublic of Korea
- Language:Korean
- Abstract: Globally, the elderly population is increasing rapidly, which means that the number of deformity correction operations for elderly spine deformity patient has increased. On the other hand, for aged patients with deformity correction operation, preoperative considerations to reduce the complications and predict a good clinical outcome are not completely understood. First, medical comorbidity needs to be evaluated preoperatively with the Cumulative Illness Rating Scale for Geriatrics or the Charlson Comorbidity Index scores. Medical comorbidities are associated with the postoperative complication rate. Managing these comorbidities preoperatively decreases the complications after a spine deformity correction operation. Second, bone densitometry need to be checked for osteoporosis. Many surgical techniques have been introduced to prevent the complications associated with posterior instrumentation for osteoporosis patients. The preoperative use of an osteogenesis inducing agent
