To compare clinical outcomes, morbidity, and mortality rates after ACDF and corpectomy in octogenarians with ventrally located cervical spinal epidural abscess, focusing on specific surgical outcomes.
Key Findings:
31 patients aged ≥ 80 years were enrolled, with a mean age of 82.2 years.
Surgical outcomes and complications were assessed, including specific rates of complications such as infection and neurological deterioration.
The study highlights the need for tailored surgical approaches in octogenarians due to their unique health challenges.
Interpretation:
The study emphasizes the importance of individualized surgical management for octogenarians with CSEA, considering their higher risk of complications and poorer baseline health, which necessitates careful surgical planning.
Limitations:
Small sample size limited the ability to perform multivariate analysis.
Retrospective design may introduce bias in data collection and interpretation, and potential confounding factors affecting outcomes should be acknowledged.
Conclusion:
Further research is needed to establish optimal surgical strategies for octogenarians with CSEA, focusing on specific clinical profiles and higher risks associated with this age group.
