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· DOS Abstracts
Can older patients survive 8 hours spine
reconstruction surgery for degenerative scoliosis?
Jens Egebjærg Rye Svendsson, Valancius Kestutis
Department of Orthopedic surgery, Aarhus University Hospital
Background:
Adult scoliosis is one of the most challenging spinal disorders de-
fined as a spinal deformity in a skeletally mature patient. Degenerative, or de
novo, scoliosis is usually seen in elderly adults over the age of 60. In selected
patients surgery is an effective treatment; however, it is associated with signifi-
cant risks and major complications.
Purpose / Aim of Study:
To analyze and compare perioperative and in-hospital
complications and challenges in to patients groups (older and younger) treated
for adult degenerative scoliosis.
Materials and Methods:
Operations between 01/2003 and 12/2013 were
reviewed. Inclusion: degenerative scoliosis; age >40 years; no scoliosis surgery
previously; cranial fixation point in the thoracic region, caudal fixation point in
the iliac bones; one stage procedure. Patients divided in two groups: age <65
and ≥65. Groups were compared in terms of demographics, admission, per op-
erative data and in-hospital complications.
Findings / Results:
26 patients met inclusion criteria. Group 1, age <65: 12
patients (mean age 57, 43-65). Group 2, age ≥65: 14 patients (mean age 72,
66-81). Operation time: Group 1 - 8.7h ±2.2, Group 2 - 8.2h ±1.9. Perioperative
bleeding: 1.7±1.3 and 1.8±0.7 L respectively. No perioperative complications in
Group 1, while in Group 2 two patients experienced complications. Average stay
in post anesthesia care unit: Group 1 - 1,7 (range 1-5), Group 2 - 1,6 (range
1-4) days. Postoperative general complications: Group 1 - 4 patients, Group
2 – 7. Hospitalization days: Group 1 - 11 (range 7-23), Group 2 - 11 (range
6-18). Two patients from Group 1 needed transfer for further medical treat-
ment, while in Group 2 only one.
Conclusions:
We were not able to show increased risk for perioperative com-
plications among older people operated for adult degenerative scoliosis com-
pared to younger population. Thou number of postoperative general complica-
tions was slightly higher.
183.
