Spinal metastases in geriatric patients: a retrospective single-center comparison of mortality and surgical outcomes following neurosurgical treatment - Summary - MDSpire

Spinal metastases in geriatric patients: a retrospective single-center comparison of mortality and surgical outcomes following neurosurgical treatment

  • By

  • Saif-Eldin Abedellatif

  • Marija Janjic

  • Logman Khalafov

  • Harun Asoglu

  • Juliane Dittmer

  • Haitham Alenezi

  • Ivan Maiseyeu

  • Mohammed Jaber

  • Muriel Heimann

  • Tim Lampmann

  • Matthias Schneider

  • Hartmut Vatter

  • Motaz Hamed

  • Mohammed Banat

  • July 16, 2026

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Objective:

To compare postoperative outcomes, complications, recurrence, readmission, and mortality between geriatric (≥ 70 years) and non-geriatric (< 70 years) patients undergoing surgical treatment for spinal metastases.

Approach:
  • Data Collection: Clinical and surgical parameters were collected from patient records, including complications, recurrence, readmission, and survival.
Key Findings:
  • Factors associated with increased 1-year mortality in geriatric patients included obesity, surgical stabilization, prolonged postoperative mechanical ventilation, early surgical complications, and a preoperative Karnofsky Performance Scale < 70% (p = 0.036).
Interpretation:

Geriatric patients undergoing surgical treatment for spinal metastases did not experience worse early postoperative outcomes.

Limitations:
  • Potential biases in patient selection and data collection may affect outcomes, limiting the generalizability of the findings.
Conclusion:

Careful patient selection based on functional status and perioperative risk factors is essential.

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