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A multicenter study of 1-year mortality and walking capacity after spinal fusion surgery for cervical fracture in elderly patients
BACKGROUND: The 1-year mortality and functional prognoses of patients who received surgery for cervical trauma in the elderly remains unclear. The aim of this study is to investigate the rates of, and factors associated with mortality and the deterioration in walking capacity occurring 1 year after...
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| Formato: | Online Artículo Texto |
| Lenguaje: | English |
| Publicado: |
BioMed Central
2022
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| Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392237/ https://www.ncbi.nlm.nih.gov/pubmed/35987644 http://dx.doi.org/10.1186/s12891-022-05752-5 |
| _version_ | 1784771018962763776 |
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| author | Sasagawa, Takeshi Yokogawa, Noriaki Hayashi, Hiroyuki Tsuchiya, Hiroyuki Ando, Kei Nakashima, Hiroaki Segi, Naoki Watanabe, Kota Nori, Satoshi Takeda, Kazuki Furuya, Takeo Yunde, Atsushi Ikegami, Shota Uehara, Masashi Suzuki, Hidenori Imajo, Yasuaki Funayama, Toru Eto, Fumihiko Yamaji, Akihiro Hashimoto, Ko Onoda, Yoshito Kakutani, Kenichiro Kakiuchi, Yuji Suzuki, Nobuyuki Kato, Kenji Terashima, Yoshinori Hirota, Ryosuke Yamada, Tomohiro Hasegawa, Tomohiko Kawaguchi, Kenichi Haruta, Yohei Seki, Shoji Tonomura, Hitoshi Sakata, Munehiro Uei, Hiroshi Sawada, Hirokatsu Tominaga, Hiroyuki Tokumoto, Hiroto Kaito, Takashi Iizuka, Yoichi Takasawa, Eiji Oshima, Yasushi Terai, Hidetomi Tamai, Koji Otsuki, Bungo Miyazaki, Masashi Nakajima, Hideaki Nakanishi, Kazuo Misaki, Kosuke Inoue, Gen Kiyasu, Katsuhito Akeda, Koji Takegami, Norihiko Yoshii, Toshitaka Ishihara, Masayuki Okada, Seiji Aoki, Yasuchika Harimaya, Katsumi Murakami, Hideki Ishii, Ken Ohtori, Seiji Imagama, Shiro Kato, Satoshi |
| author_facet | Sasagawa, Takeshi Yokogawa, Noriaki Hayashi, Hiroyuki Tsuchiya, Hiroyuki Ando, Kei Nakashima, Hiroaki Segi, Naoki Watanabe, Kota Nori, Satoshi Takeda, Kazuki Furuya, Takeo Yunde, Atsushi Ikegami, Shota Uehara, Masashi Suzuki, Hidenori Imajo, Yasuaki Funayama, Toru Eto, Fumihiko Yamaji, Akihiro Hashimoto, Ko Onoda, Yoshito Kakutani, Kenichiro Kakiuchi, Yuji Suzuki, Nobuyuki Kato, Kenji Terashima, Yoshinori Hirota, Ryosuke Yamada, Tomohiro Hasegawa, Tomohiko Kawaguchi, Kenichi Haruta, Yohei Seki, Shoji Tonomura, Hitoshi Sakata, Munehiro Uei, Hiroshi Sawada, Hirokatsu Tominaga, Hiroyuki Tokumoto, Hiroto Kaito, Takashi Iizuka, Yoichi Takasawa, Eiji Oshima, Yasushi Terai, Hidetomi Tamai, Koji Otsuki, Bungo Miyazaki, Masashi Nakajima, Hideaki Nakanishi, Kazuo Misaki, Kosuke Inoue, Gen Kiyasu, Katsuhito Akeda, Koji Takegami, Norihiko Yoshii, Toshitaka Ishihara, Masayuki Okada, Seiji Aoki, Yasuchika Harimaya, Katsumi Murakami, Hideki Ishii, Ken Ohtori, Seiji Imagama, Shiro Kato, Satoshi |
| author_sort | Sasagawa, Takeshi |
| collection | PubMed |
| description | BACKGROUND: The 1-year mortality and functional prognoses of patients who received surgery for cervical trauma in the elderly remains unclear. The aim of this study is to investigate the rates of, and factors associated with mortality and the deterioration in walking capacity occurring 1 year after spinal fusion surgery for cervical fractures in patients 65 years of age or older. METHODS: Three hundred thirteen patients aged 65 years or more with a traumatic cervical fracture who received spinal fusion surgery were enrolled. The patients were divided into a survival group and a mortality group, or a maintained walking capacity group and a deteriorated walking capacity group. We compared patients’ backgrounds, trauma, and surgical parameters between the two groups. To identify factors associated with mortality or a deteriorated walking capacity 1 year postoperatively, a multivariate logistic regression analysis was conducted. RESULTS: One year postoperatively, the rate of mortality was 8%. A higher Charlson comorbidity index (CCI) score, a more severe the American Spinal Cord Injury Association impairment scale (AIS), and longer surgical time were identified as independent factors associated with an increase in 1-year mortality. The rate of deterioration in walking capacity between pre-trauma and 1 year postoperatively was 33%. A more severe AIS, lower albumin (Alb) and hemoglobin (Hb) values, and a larger number of fused segments were identified as independent factors associated with the increased risk of deteriorated walking capacity 1 year postoperatively. CONCLUSIONS: The 1-year rate of mortality after spinal fusion surgery for cervical fracture in patients 65 years of age or older was 8%, and its associated factors were a higher CCI score, a more severe AIS, and a longer surgical time. The rate of deterioration in walking capacity was 33%, and its associated factors were a more severe AIS, lower Alb, lower Hb values, and a larger number of fused segments. |
| format | Online Article Text |
| id | pubmed-9392237 |
| institution | National Center for Biotechnology Information |
| language | English |
| publishDate | 2022 |
| publisher | BioMed Central |
| record_format | MEDLINE/PubMed |
| spelling | pubmed-93922372022-08-21 A multicenter study of 1-year mortality and walking capacity after spinal fusion surgery for cervical fracture in elderly patients Sasagawa, Takeshi Yokogawa, Noriaki Hayashi, Hiroyuki Tsuchiya, Hiroyuki Ando, Kei Nakashima, Hiroaki Segi, Naoki Watanabe, Kota Nori, Satoshi Takeda, Kazuki Furuya, Takeo Yunde, Atsushi Ikegami, Shota Uehara, Masashi Suzuki, Hidenori Imajo, Yasuaki Funayama, Toru Eto, Fumihiko Yamaji, Akihiro Hashimoto, Ko Onoda, Yoshito Kakutani, Kenichiro Kakiuchi, Yuji Suzuki, Nobuyuki Kato, Kenji Terashima, Yoshinori Hirota, Ryosuke Yamada, Tomohiro Hasegawa, Tomohiko Kawaguchi, Kenichi Haruta, Yohei Seki, Shoji Tonomura, Hitoshi Sakata, Munehiro Uei, Hiroshi Sawada, Hirokatsu Tominaga, Hiroyuki Tokumoto, Hiroto Kaito, Takashi Iizuka, Yoichi Takasawa, Eiji Oshima, Yasushi Terai, Hidetomi Tamai, Koji Otsuki, Bungo Miyazaki, Masashi Nakajima, Hideaki Nakanishi, Kazuo Misaki, Kosuke Inoue, Gen Kiyasu, Katsuhito Akeda, Koji Takegami, Norihiko Yoshii, Toshitaka Ishihara, Masayuki Okada, Seiji Aoki, Yasuchika Harimaya, Katsumi Murakami, Hideki Ishii, Ken Ohtori, Seiji Imagama, Shiro Kato, Satoshi BMC Musculoskelet Disord Research BACKGROUND: The 1-year mortality and functional prognoses of patients who received surgery for cervical trauma in the elderly remains unclear. The aim of this study is to investigate the rates of, and factors associated with mortality and the deterioration in walking capacity occurring 1 year after spinal fusion surgery for cervical fractures in patients 65 years of age or older. METHODS: Three hundred thirteen patients aged 65 years or more with a traumatic cervical fracture who received spinal fusion surgery were enrolled. The patients were divided into a survival group and a mortality group, or a maintained walking capacity group and a deteriorated walking capacity group. We compared patients’ backgrounds, trauma, and surgical parameters between the two groups. To identify factors associated with mortality or a deteriorated walking capacity 1 year postoperatively, a multivariate logistic regression analysis was conducted. RESULTS: One year postoperatively, the rate of mortality was 8%. A higher Charlson comorbidity index (CCI) score, a more severe the American Spinal Cord Injury Association impairment scale (AIS), and longer surgical time were identified as independent factors associated with an increase in 1-year mortality. The rate of deterioration in walking capacity between pre-trauma and 1 year postoperatively was 33%. A more severe AIS, lower albumin (Alb) and hemoglobin (Hb) values, and a larger number of fused segments were identified as independent factors associated with the increased risk of deteriorated walking capacity 1 year postoperatively. CONCLUSIONS: The 1-year rate of mortality after spinal fusion surgery for cervical fracture in patients 65 years of age or older was 8%, and its associated factors were a higher CCI score, a more severe AIS, and a longer surgical time. The rate of deterioration in walking capacity was 33%, and its associated factors were a more severe AIS, lower Alb, lower Hb values, and a larger number of fused segments. BioMed Central 2022-08-20 /pmc/articles/PMC9392237/ /pubmed/35987644 http://dx.doi.org/10.1186/s12891-022-05752-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| spellingShingle | Research Sasagawa, Takeshi Yokogawa, Noriaki Hayashi, Hiroyuki Tsuchiya, Hiroyuki Ando, Kei Nakashima, Hiroaki Segi, Naoki Watanabe, Kota Nori, Satoshi Takeda, Kazuki Furuya, Takeo Yunde, Atsushi Ikegami, Shota Uehara, Masashi Suzuki, Hidenori Imajo, Yasuaki Funayama, Toru Eto, Fumihiko Yamaji, Akihiro Hashimoto, Ko Onoda, Yoshito Kakutani, Kenichiro Kakiuchi, Yuji Suzuki, Nobuyuki Kato, Kenji Terashima, Yoshinori Hirota, Ryosuke Yamada, Tomohiro Hasegawa, Tomohiko Kawaguchi, Kenichi Haruta, Yohei Seki, Shoji Tonomura, Hitoshi Sakata, Munehiro Uei, Hiroshi Sawada, Hirokatsu Tominaga, Hiroyuki Tokumoto, Hiroto Kaito, Takashi Iizuka, Yoichi Takasawa, Eiji Oshima, Yasushi Terai, Hidetomi Tamai, Koji Otsuki, Bungo Miyazaki, Masashi Nakajima, Hideaki Nakanishi, Kazuo Misaki, Kosuke Inoue, Gen Kiyasu, Katsuhito Akeda, Koji Takegami, Norihiko Yoshii, Toshitaka Ishihara, Masayuki Okada, Seiji Aoki, Yasuchika Harimaya, Katsumi Murakami, Hideki Ishii, Ken Ohtori, Seiji Imagama, Shiro Kato, Satoshi A multicenter study of 1-year mortality and walking capacity after spinal fusion surgery for cervical fracture in elderly patients |
| title | A multicenter study of 1-year mortality and walking capacity after spinal fusion surgery for cervical fracture in elderly patients |
| title_full | A multicenter study of 1-year mortality and walking capacity after spinal fusion surgery for cervical fracture in elderly patients |
| title_fullStr | A multicenter study of 1-year mortality and walking capacity after spinal fusion surgery for cervical fracture in elderly patients |
| title_full_unstemmed | A multicenter study of 1-year mortality and walking capacity after spinal fusion surgery for cervical fracture in elderly patients |
| title_short | A multicenter study of 1-year mortality and walking capacity after spinal fusion surgery for cervical fracture in elderly patients |
| title_sort | multicenter study of 1-year mortality and walking capacity after spinal fusion surgery for cervical fracture in elderly patients |
| topic | Research |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392237/ https://www.ncbi.nlm.nih.gov/pubmed/35987644 http://dx.doi.org/10.1186/s12891-022-05752-5 |
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