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Appropriate Use of Limited Interventions vs Extensive Surgery in the Elderly Patient With Spinal Disorders.

Publication ,  Journal Article
Gussous, Y; Than, K; Mummaneni, P; Smith, J; Steinmetz, M; Ohya, J; Berven, S
Published in: Neurosurgery
October 2015

Surgical management of spinal deformity is elderly patients is characterized by significant variability. In a value-based health care economy, minimization of risks and maximization of benefit and durability of surgery are a priority. The choice of a surgical approach is a significant determinant of risk, cost, and outcome. Informed choice regarding a surgical approach requires participation of the patient and surgeon. Limited interventions may be appropriate for patients with radicular symptoms and focal pain. More extensive surgery may be required for patients with global imbalance of the spine. The role of minimally invasive approaches in limiting complications and improving outcome remains in evolution. An optimal choice of surgical approach requires consideration of patient preferences, values, comorbidities, and goals of care.

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Published In

Neurosurgery

DOI

EISSN

1524-4040

Publication Date

October 2015

Volume

77 Suppl 4

Start / End Page

S142 / S163

Location

United States

Related Subject Headings

  • Spinal Fusion
  • Spinal Diseases
  • Patient Selection
  • Pain
  • Neurology & Neurosurgery
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Humans
  • Decompression, Surgical
  • Comorbidity
 

Citation

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Chicago
ICMJE
MLA
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Gussous, Y., Than, K., Mummaneni, P., Smith, J., Steinmetz, M., Ohya, J., & Berven, S. (2015). Appropriate Use of Limited Interventions vs Extensive Surgery in the Elderly Patient With Spinal Disorders. Neurosurgery, 77 Suppl 4, S142–S163. https://doi.org/10.1227/NEU.0000000000000954
Gussous, Yazeed, Khoi Than, Praveen Mummaneni, Justin Smith, Michael Steinmetz, Junichi Ohya, and Sigurd Berven. “Appropriate Use of Limited Interventions vs Extensive Surgery in the Elderly Patient With Spinal Disorders.Neurosurgery 77 Suppl 4 (October 2015): S142–63. https://doi.org/10.1227/NEU.0000000000000954.
Gussous Y, Than K, Mummaneni P, Smith J, Steinmetz M, Ohya J, et al. Appropriate Use of Limited Interventions vs Extensive Surgery in the Elderly Patient With Spinal Disorders. Neurosurgery. 2015 Oct;77 Suppl 4:S142–63.
Gussous, Yazeed, et al. “Appropriate Use of Limited Interventions vs Extensive Surgery in the Elderly Patient With Spinal Disorders.Neurosurgery, vol. 77 Suppl 4, Oct. 2015, pp. S142–63. Pubmed, doi:10.1227/NEU.0000000000000954.
Gussous Y, Than K, Mummaneni P, Smith J, Steinmetz M, Ohya J, Berven S. Appropriate Use of Limited Interventions vs Extensive Surgery in the Elderly Patient With Spinal Disorders. Neurosurgery. 2015 Oct;77 Suppl 4:S142–S163.

Published In

Neurosurgery

DOI

EISSN

1524-4040

Publication Date

October 2015

Volume

77 Suppl 4

Start / End Page

S142 / S163

Location

United States

Related Subject Headings

  • Spinal Fusion
  • Spinal Diseases
  • Patient Selection
  • Pain
  • Neurology & Neurosurgery
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Humans
  • Decompression, Surgical
  • Comorbidity