Spine trauma in the elderly - management issues and treatment goals

Mark J. Lambrechts, Christina L. Goldstein, Jamie R.F. Wilson

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

We acknowledge that the definition of “elderly” or “geriatric” in the domain of spine trauma is open to significant debate. For purposes of this chapter, we have applied the definition of geriatric as an age of 65 years or older. These patients are at an elevated risk of both spine fractures and spinal cord injuries due to their underlying osteoporosis and spondylosis. Expedient operative management should be pursued in cases of spinal cord injury with appropriate medical comanagement and aggressive rehabilitation. The modified frailty index may be used as a tool to help in the operative decision-making process and can help prognosticate the geriatric patient’s outcome from spinal cord injury.

Original languageEnglish
Title of host publicationNeural Repair and Regeneration after Spinal Cord Injury and Spine Trauma
PublisherElsevier
Pages259-270
Number of pages12
ISBN (Electronic)9780128198353
ISBN (Print)9780128198360
DOIs
StatePublished - Jan 1 2022

Keywords

  • Compression fractures
  • Frailty index
  • Geriatric
  • Osteoporosis
  • Spinal cord injury
  • Spondylosis

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