Traumatic spinal cord injuries in geriatric population: etiology, management, and complications

J Spine Surg, 2019 · DOI: 10.21037/jss.2019.02.02 · Published: March 1, 2019

Simple Explanation

This study investigates traumatic spinal cord injuries (SCI) in geriatric patients, focusing on injury causes, treatment approaches, and complications. The research reviews data from a level I trauma center, examining patient demographics, injury mechanisms, diagnoses, and outcomes. The findings highlight the prevalence of fractures and central cord syndrome from falls and indicate higher complication rates in younger geriatric patients.

Study Duration

2003 to 2013

Participants

53 geriatric patients with traumatic SCI

Evidence Level

Not specified

Key Findings

1
Fractures and central cord syndrome are the most common diagnoses among geriatric patients with traumatic SCI, often resulting from falls.
2
Younger geriatric patients (65–69 years) with SCI exhibit a higher incidence of severe ASIA scores (A) and major complications.
3
Surgical management of traumatic SCI initially increases with age but decreases in the oldest age group (≥80 years).

Research Summary

The study identifies fractures and central cord syndrome as the most frequent diagnoses in geriatric traumatic SCI, commonly resulting from falls. It reveals that younger geriatric patients experience a higher rate of severe SCI and major complications, while surgical management varies across age groups. The research emphasizes the importance of considering age-related nuances in the severity, management, and complications of SCI in elderly patients.

Practical Implications

Tailored Treatment Strategies

The study highlights the need for age-specific treatment approaches, particularly for younger geriatric patients who may require more aggressive intervention due to higher complication rates.

Fall Prevention Programs

Given that falls are a primary cause of SCI in this population, targeted fall prevention programs could significantly reduce the incidence of traumatic SCI.

Surgical Decision-Making

The findings suggest a careful evaluation of the risks and benefits of surgical intervention in the oldest age group, as the potential benefits may be outweighed by the risk of complications.

Study Limitations

1
Incomplete electronic medical records and missing mortality information for some patients.
2
Lack of demographic diversity, with a predominantly Caucasian patient population.
3
Absence of patient-reported outcomes (PRO) to assess the functional impact of SCI.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury