Fujita T, Kostuik J P, Huckell C B, Sieber A N
Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland, USA.
Orthop Clin North Am. 1998 Oct;29(4):669-78. doi: 10.1016/s0030-5898(05)70040-7.
This article describes the overall rate, characteristics, and predictive factors for major and minor complications in spinal fusion patients over 60 years of age (or greater) cared for in the authors' institution. Special emphasis is placed on establishing the most valid incidence of complications after spinal fusion by extracting the information directly from the pateint's permanent medical or clinical database record. Once the spinal surgery risk profile for the elderly patient is established, treatment interventions to modify these risks can be implemented and evaluated prospectively and longitudinally to maximize spinal surgery outcomes.
本文描述了在作者所在机构接受治疗的60岁及以上脊柱融合患者发生严重和轻微并发症的总体发生率、特征及预测因素。特别强调通过直接从患者的永久性医疗或临床数据库记录中提取信息，来确定脊柱融合术后最准确的并发症发生率。一旦确定了老年患者的脊柱手术风险概况，就可以前瞻性和纵向地实施并评估旨在降低这些风险的治疗干预措施，以最大限度地提高脊柱手术效果。
