@article{ref1,
title="Epidemiology of cervical fracture/cervical spinal cord injury and changes in surgical treatment modalities in elderly individuals during a 10-year period: a nationwide multicenter study in Japan",
journal="Global spine journal",
year="2023",
author="Segi, Naoki and Nakashima, Hiroaki and Machino, Masaaki and Ito, Sadayuki and Yokogawa, Noriaki and Sasagawa, Takeshi and Funayama, Toru and Eto, Fumihiko and Watanabe, Kota and Nori, Satoshi and Furuya, Takeo and Yunde, Atsushi and Nakajima, Hideaki and Hasegawa, Tomohiko and Yamada, Tomohiro and Terashima, Yoshinori and Hirota, Ryosuke and Suzuki, Hidenori and Imajo, Yasuaki and Ikegami, Shota and Uehara, Masashi and Tonomura, Hitoshi and Sakata, Munehiro and Hashimoto, Ko and Onoda, Yoshito and Kawaguchi, Kenichi and Haruta, Yohei and Suzuki, Nobuyuki and Kato, Kenji and Uei, Hiroshi and Sawada, Hirokatsu and Nakanishi, Kazuo and Misaki, Kosuke and Terai, Hidetomi and Tamai, Koji and Inoue, Gen and Shirasawa, Eiki and Kakutani, Kenichiro and Iizuka, Yoichi and Takasawa, Eiji and Akeda, Koji and Kiyasu, Katsuhito and Tominaga, Hiroyuki and Tokumoto, Hiroto and Funao, Haruki and Oshima, Yasushi and Yoshii, Toshitaka and Kaito, Takashi and Sakai, Daisuke and Ohba, Tetsuro and Seki, Shoji and Otsuki, Bungo and Ishihara, Masayuki and Miyazaki, Masashi and Okada, Seiji and Imagama, Shiro and Kato, Satoshi",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="STUDY DESIGN: Retrospective multicenter study. <br><br>OBJECTIVES: To investigate changes over a 10-years period in the profile of cervical spine and spinal cord injuries among the elderly in Japan. <br><br>METHODS: The current multicenter study was a retrospective analysis of inpatients aged ≥65 years, suffering cervical fracture (CF) and/or cervical spinal cord injury (CSCI). We analyzed 1413 patients' epidemiology (from 2010 to 2019). Moreover, 727 patients who underwent surgical treatment were analyzed in 2 groups: the early (2010-2014) and late period (2015-2019). <br><br>RESULTS: Both the number of patients and number of surgical patients showed a significant increasing trend (P <.001), while the mean age, the distribution of injury levels and paralysis severity, and the proportion of surgical indications remained the same. The number of surgical patients doubled from 228 to 499 from the early to late periods. Posterior surgery was the most common approach (90.4%), instrumentation surgery with screws increased significantly, and the range of fusion was significantly longer in the late period (2.1 vs 2.7 levels, P =.001). Significantly worsening neurological symptoms were recorded in the late period (1.3% vs 5.8%, P =.006), with C5 palsy being the major one. Otherwise, perioperative, major, and other complications, including mortality, did not differ significantly in incidence. <br><br>CONCLUSIONS: Both the number of elderly CF and/or CSCI patients and number of patients undergoing surgery increased dramatically over the decade without any change in profile. Instrumentation surgeries with screws increased, without an increase in systemic complications.<p /> <p>Language: en</p>",
language="en",
issn="2192-5682",
doi="10.1177/21925682231151643",
url="http://dx.doi.org/10.1177/21925682231151643"
}