Spine Surgery and Related Research (Oct 2017)
Risk factors of cervical surgery related complications in patients older than 80 years
- Koji Tamai,
- Hidetomi Terai,
- Akinobu Suzuki,
- Hiroaki Nakamura,
- Masaomi Yamashita,
- Yawara Eguchi,
- Shiro Imagama,
- Kei Ando,
- Kazuyoshi Kobayashi,
- Morio Matsumoto,
- Ken Ishii,
- Tomohiro Hikata,
- Shoji Seki,
- Masaaki Aramomi,
- Tetsuhiro Ishikawa,
- Atsushi Kimura,
- Hirokazu Inoue,
- Gen Inoue,
- Masayuki Miyagi,
- Wataru Saito,
- Kei Yamada,
- Michio Hongo,
- Kenji Endo,
- Hidekazu Suzuki,
- Atsushi Nakano,
- Kazuyuki Watanabe,
- Junichi Ohya,
- Hirotaka Chikuda,
- Yasuchika Aoki,
- Masayuki Shimizu,
- Toshimasa Futatsugi,
- Keijiro Mukaiyama,
- Masaichi Hasegawa,
- Katsuhito Kiyasu,
- Haku Iizuka,
- Kotaro Nishida,
- Kenichiro Kakutani,
- Hideaki Nakajima,
- Hideki Murakami,
- Satoru Demura,
- Satoshi Kato,
- Katsuhito Yoshioka,
- Takashi Namikawa,
- Kei Watanabe,
- Kazuyoshi Nakanishi,
- Yukihiro Nakagawa,
- Mitsunori Yoshimoto,
- Hiroyasu Fujiwara,
- Norihiro Nishida,
- Masataka Sakane,
- Masashi Yamazaki,
- Takashi Kaito,
- Takeo Furuya,
- Sumihisa Orita,
- Seiji Ohtori
Affiliations
- Koji Tamai
- Department of Orthopaedic Surgery, Osaka City University
- Hidetomi Terai
- Department of Orthopaedic Surgery, Osaka City University
- Akinobu Suzuki
- Department of Orthopaedic Surgery, Osaka City University
- Hiroaki Nakamura
- Department of Orthopaedic Surgery, Osaka City University
- Masaomi Yamashita
- Department of Orthopedic Surgery, Social Insurance Funabashi Central Hospital
- Yawara Eguchi
- Department of Orthopaedic Surgery, Shimoshizu Hospital
- Shiro Imagama
- Department of Orthopaedic Surgery, Nagoya University
- Kei Ando
- Department of Orthopaedic Surgery, Nagoya University
- Kazuyoshi Kobayashi
- Department of Orthopaedic Surgery, Nagoya University
- Morio Matsumoto
- Department of Orthopaedic Surgery, Keio University
- Ken Ishii
- Department of Orthopaedic Surgery, Keio University
- Tomohiro Hikata
- Department of Orthopaedic Surgery, Keio University
- Shoji Seki
- Department of Orthopaedic Surgery, Toyama University
- Masaaki Aramomi
- Department of Orthopaedic Surgery, Sanmu Medical Center
- Tetsuhiro Ishikawa
- Department of Orthopaedic Surgery, Sanmu Medical Center
- Atsushi Kimura
- Department of Orthopaedic Surgery, Jichi Medical University
- Hirokazu Inoue
- Department of Orthopaedic Surgery, Jichi Medical University
- Gen Inoue
- Department of Orthopaedic Surgery, Kitasato University
- Masayuki Miyagi
- Department of Orthopaedic Surgery, Kitasato University
- Wataru Saito
- Department of Orthopaedic Surgery, Kitasato University
- Kei Yamada
- Department of Orthopaedic Surgery, Kurume University
- Michio Hongo
- Department of Orthopaedic Surgery, Akita University
- Kenji Endo
- Department of Orthopaedic Surgery, Tokyo Medical University
- Hidekazu Suzuki
- Department of Orthopaedic Surgery, Tokyo Medical University
- Atsushi Nakano
- Department of Orthopaedic Surgery, Osaka Medical College
- Kazuyuki Watanabe
- Department of Orthopaedic Surgery, Fukushima Medical University
- Junichi Ohya
- Department of Orthopaedic Surgery, Tokyo University
- Hirotaka Chikuda
- Department of Orthopaedic Surgery, Tokyo University
- Yasuchika Aoki
- Department of Orthopaedic Surgery, Toho University Sakura Medical Center
- Masayuki Shimizu
- Department of Orthopaedic Surgery, Shinshu University
- Toshimasa Futatsugi
- Department of Orthopaedic Surgery, Shinshu University
- Keijiro Mukaiyama
- Department of Orthopaedic Surgery, Shinshu University
- Masaichi Hasegawa
- Department of Orthopaedic Surgery, Kyorin University
- Katsuhito Kiyasu
- Department of Orthopaedic Surgery, Kochi University
- Haku Iizuka
- Department of Orthopaedic Surgery, Gunma University
- Kotaro Nishida
- Department of Orthopaedic Surgery, Kobe University
- Kenichiro Kakutani
- Department of Orthopaedic Surgery, Kobe University
- Hideaki Nakajima
- Department of Orthopaedic Surgery, Fukui University
- Hideki Murakami
- Department of Orthopaedic Surgery, Kanazawa University
- Satoru Demura
- Department of Orthopaedic Surgery, Kanazawa University
- Satoshi Kato
- Department of Orthopaedic Surgery, Kanazawa University
- Katsuhito Yoshioka
- Department of Orthopaedic Surgery, Kanazawa University
- Takashi Namikawa
- Department of Orthopaedic Surgery, Osaka City General Hospital
- Kei Watanabe
- Department of Orthopaedic Surgery, Niigata University
- Kazuyoshi Nakanishi
- Department of Orthopaedic Surgery, Hiroshima University
- Yukihiro Nakagawa
- Department of Orthopaedic Surgery, Wakayama Medical University
- Mitsunori Yoshimoto
- Department of Orthopaedic Surgery, Sapporo Medical University
- Hiroyasu Fujiwara
- Department of Orthopaedic Surgery, Osaka-Minami Medical Center
- Norihiro Nishida
- Department of Orthopaedic Surgery, Yamaguchi University
- Masataka Sakane
- Department of Orthopaedic Surgery, University of Tsukuba
- Masashi Yamazaki
- Department of Orthopaedic Surgery, University of Tsukuba
- Takashi Kaito
- Department of Orthopaedic Surgery, Osaka University
- Takeo Furuya
- Department of Orthopaedic Surgery, Chiba University
- Sumihisa Orita
- Department of Orthopaedic Surgery, Chiba University
- Seiji Ohtori
- Department of Orthopaedic Surgery, Chiba University
- DOI
- https://doi.org/10.22603/ssrr.1.2017-0002
- Journal volume & issue
-
Vol. 1,
no. 4
pp. 179 – 184
Abstract
Introduction: With an aging population, the proportion of patients aged 80 years requiring cervical surgery is increasing. Surgeons are concerned with the high incidence of complications in this population, because “age” itself has been reported as a strong risk factor for complications. However, it is still unknown which factors represent higher risk among these elderly patients. Therefore, this study was conducted to identify the risk factors related to surgical complications specific to elderly patients by analyzing the registry data of patients aged 80 years who underwent cervical surgery. Methods: We retrospectively studied multicenter collected registry data using multivariate analysis. Sixty-six patients aged 80 years who underwent cervical surgery and were followed up for more than one year were included in this study. Preoperative patient demographic data, including comorbidities and postoperative complications, were collected from multicenter registry data. Complications were considered as major if they required invasive intervention, caused prolonged morbidity, or resulted in prolongation of hospital stay. Logistic regression analysis was performed to analyze the risk factors for complications. A p-value of <0.05 was considered as statistically significant. Results: The total number of patients with complications was 21 (31.8%), with seven major (10.6%) and 14 minor (21.2%) complications. Multivariate logistic regression analysis, after adjusting for age, revealed two significant risk factors: preoperative cerebrovascular disorders (OR, 6.337; p=0.043) for overall complications and cancer history (OR, 8.168; p=0.021) for major complications. Age, presence of diabetes mellitus, and diagnosis were not significant predictive factors for complications in this study. Conclusions: Preoperative cerebrovascular disorders and cancer history were risk factors for complications after cervical surgery in patients over 80 years old. Surgeons should pay attention to these specific risk factors before performing cervical surgery in elderly patients.
Keywords
- elderly
- complications
- cervical surgery
- risk factor
- cancer history
- cerebrovascular disorders
- comorbidity