Spinal metastases in geriatric patients: a retrospective single-center comparison of mortality and surgical outcomes following neurosurgical treatment - Takeaways - 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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  • 1

    The study analyzed 277 patients who underwent surgical treatment for spinal metastases from 2012 to 2024, comparing geriatric and non-geriatric outcomes.

  • 2

    Geriatric patients had higher preoperative comorbidity and lower functional status, but early postoperative outcomes were similar between age groups.

  • 3

    Median overall survival was 12.0 months for patients under 70 years and 10.5 months for those 70 years and older, with a significant p-value of 0.026.

  • 4

    Factors associated with increased 1-year mortality in geriatric patients included obesity, surgical stabilization, and early surgical complications.

  • 5

    The findings suggest careful patient selection based on functional status and perioperative risk factors is essential for geriatric patients undergoing surgery.

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