| Clinical Outcome, Mortality, and Morbidity in Traumatic
Cervical Spinal Cord Injury in Adults Versus Elderly Patients |
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Hong-Ju Bae , Sang-Bok Lee , Kyoung-Suok Cho , Do-Sung Yoo, Tae-Gyu Lee , Pil-Woo Huh |
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Department of Neurosurgery, Uijongbu St. Mary’s Hospital, The Catholic University, School of Medicine, Uijongbu, Korea |
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| Abstract |
Objective
We performed a retrospective analysis and compared mortality, clinical outcomes, and complications between
two patient age groups (≤65 and >65 years) with cervical cord injuries after trauma.
Methods
We undertook a retrospective review of all surgical procedures for traumatic cervical spine injury performed
at Uijungbu St. Mary Hospital between January 1, 2010, and December 31, 2013. In total, 55 patients were reviewed.
Retrospective data were collected from the time of admission to discharge from the intensive care unit, and included
age, injury etiology, mechanism of injury, clinical outcome, morbidity, and mortality.
Results
There were 19 patients older than 65 years and 36 patients younger than 65 years who underwent surgery;
the mean age was 52.4 years. Eighteen patients (50%) showed an improvement in their ASIS grade at last follow-up
in group A. For group B, six patients (31.5%) showed improved neurological status at last follow up. Overall mortality
for both groups at this single center was 5.5%(group A) and 21.1%(group B). Mortality rates in the elderly group
tended to be higher, but no statistically significant difference was found between the groups (p>0.05, χ2 test).
Conclusion
Our data show that cervical cord injury in the elderly population has high mortality and unfavorable
outcomes compared with younger patients. Regarding the in-hospital and 60-day mortality rates for incompletely
neurologically injured patients, no statistically significant difference was observed between the groups. |
| Key Words:
Cervical cord injuryㆍElderly patientsㆍOutcomeㆍSurgeryㆍIn-hospital mortalityㆍ60-day mortality |
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