title: Appropriate Use of Limited Interventions vs Extensive Surgery in the Elderly Patient With Spinal Disorders.
abstract: 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.
authors.affiliation: *Departments of Orthopaedic Surgery and ‡Neurosurgery, University of California, San Francisco, California; §Department of Neurosurgery, University of Virginia School of Medicine, Charlottesville, Virginia; ¶Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Yazeed
authors.initials: Y
authors.lastname: Gussous
authors.forename: Khoi
authors.initials: K
authors.lastname: Than
authors.forename: Praveen
authors.initials: P
authors.lastname: Mummaneni
authors.forename: Justin
authors.initials: J
authors.lastname: Smith
authors.forename: Michael
authors.initials: M
authors.lastname: Steinmetz
authors.forename: Junichi
authors.initials: J
authors.lastname: Ohya
authors.forename: Sigurd
authors.initials: S
authors.lastname: Berven
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D019299:Decompression, Surgical; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010146:Pain / Q000209:etiology / Q000601:surgery*; D018579:Patient Selection; D013122:Spinal Diseases / Q000150:complications / Q000601:surgery*; D013123:Spinal Fusion