TY  - JOUR
PY  - 2023//
TI  - 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
JO  - Global spine journal
A1  - Segi, Naoki
A1  - Nakashima, Hiroaki
A1  - Machino, Masaaki
A1  - Ito, Sadayuki
A1  - Yokogawa, Noriaki
A1  - Sasagawa, Takeshi
A1  - Funayama, Toru
A1  - Eto, Fumihiko
A1  - Watanabe, Kota
A1  - Nori, Satoshi
A1  - Furuya, Takeo
A1  - Yunde, Atsushi
A1  - Nakajima, Hideaki
A1  - Hasegawa, Tomohiko
A1  - Yamada, Tomohiro
A1  - Terashima, Yoshinori
A1  - Hirota, Ryosuke
A1  - Suzuki, Hidenori
A1  - Imajo, Yasuaki
A1  - Ikegami, Shota
A1  - Uehara, Masashi
A1  - Tonomura, Hitoshi
A1  - Sakata, Munehiro
A1  - Hashimoto, Ko
A1  - Onoda, Yoshito
A1  - Kawaguchi, Kenichi
A1  - Haruta, Yohei
A1  - Suzuki, Nobuyuki
A1  - Kato, Kenji
A1  - Uei, Hiroshi
A1  - Sawada, Hirokatsu
A1  - Nakanishi, Kazuo
A1  - Misaki, Kosuke
A1  - Terai, Hidetomi
A1  - Tamai, Koji
A1  - Inoue, Gen
A1  - Shirasawa, Eiki
A1  - Kakutani, Kenichiro
A1  - Iizuka, Yoichi
A1  - Takasawa, Eiji
A1  - Akeda, Koji
A1  - Kiyasu, Katsuhito
A1  - Tominaga, Hiroyuki
A1  - Tokumoto, Hiroto
A1  - Funao, Haruki
A1  - Oshima, Yasushi
A1  - Yoshii, Toshitaka
A1  - Kaito, Takashi
A1  - Sakai, Daisuke
A1  - Ohba, Tetsuro
A1  - Seki, Shoji
A1  - Otsuki, Bungo
A1  - Ishihara, Masayuki
A1  - Miyazaki, Masashi
A1  - Okada, Seiji
A1  - Imagama, Shiro
A1  - Kato, Satoshi
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 2192-5682
UR  - http://dx.doi.org/10.1177/21925682231151643
ID  - ref1
ER  -