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Geriatrics
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The Aging Spine
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The Aging Spine

A special issue of Geriatrics (ISSN 2308-3417).

Deadline for manuscript submissions: closed (10 March 2023) | Viewed by 5402

Special Issue Editors

Prof. Dr. Juan F. Blanco

E-Mail Website
Guest Editor
1. Orthopaedic Surgery and Traumatology (Lead), University Hospital of Salamanca, Salamanca, Spain
2. Orthopaedic Surgery and Traumatology, Surgery Department, University of Salamanca (USAL), Salamanca, Spain
3. Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain
Interests: orthogeriatrics; surgery; orthopedics; spine surgery; hip; knee
Special Issues, Collections and Topics in MDPI journals
Dr. Matias Alfonso

E-Mail Website
Guest Editor
Orthopedic Surgery and Traumatology, Spine Surgery, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain
Interests: spine surgery; foot and ankle disorders; orthopedics

Special Issue Information

Dear Colleagues,

By "aging spine", we mean the spinal problems that occur in elderly patients. These disorders cover a wide spectrum of problems that generally cause pain, varying degrees of disability, and a loss of quality of life. On the other hand, the increase in life expectancy and the need for the elderly to enjoy a good quality of life implies the need to offer treatments adapted to their vital and clinical situation. One example is bone fragility, osteoporosis, which is often present in this type of patient and which can hinder some surgical procedures; another could be the comorbidity that this type of patient frequently presents.

In addition to the degenerative disorder of the intervertebral disc and its related pathologies (spine stenosis), it is necessary to pay attention to spine deformity, which is a cause of disability and loss of quality of life. Likewise, osteoporotic vertebral fracture is a frequent problem in the elderly. It may also be necessary to address the problems that elderly patients with a history of vertebral surgery may present.

In addition to the knowledge of these disorders and the possibilities of surgical treatment, this Special Issue of Geriatrics aims to provide an overview of the elderly patient with spinal problems, with an emphasis on the consideration of the clinical situation, comorbidities and expected results of surgical treatment.

I encourage you to send in your contributions, to provide useful information concerning aging spine.

Prof. Dr. Juan F. Blanco
Dr. Matias Alfonso
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Geriatrics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • aging spine
  • spine surgery
  • adult spine deformity
  • osteoporotic fracture
  • back pain
  • spine stenosis
  • degenerative scoliosis
  • sagittal imbalance

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Published Papers (2 papers)

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Research

12 pages, 1326 KiB  
Article
Vertebral Body Height Changes in Acute Symptomatic Osteoporotic Vertebral Compression Fractures Treated with Vertebral Cement Augmentation—Which Factors Affect Vertebral Body Height during Follow-up? A Multiple Linear Regression Study
by Jesús Payo-Ollero, Rafael Llombart-Blanco, Carlos Villas and Matías Alfonso
Geriatrics 2022, 7(6), 142; https://doi.org/10.3390/geriatrics7060142 - 14 Dec 2022
Viewed by 2064
Abstract
Changes in vertebral body height depend on various factors which were analyzed in isolation and not as a whole. The aim of this study is to analyze what factors might influence the restoration of the vertebral body height after vertebral augmentation. We analyzed [...] Read more.
Changes in vertebral body height depend on various factors which were analyzed in isolation and not as a whole. The aim of this study is to analyze what factors might influence the restoration of the vertebral body height after vertebral augmentation. We analyzed 48 patients (108 vertebrae) with osteoporotic vertebral fractures who underwent vertebral augmentation when a conservative treatment proved to be unsatisfactory. The analyses were carried out at the time of the fracture, during surgery (pre-cementation and post-cementation), at the first medical check-up (6 weeks post-surgery) and at the last medical check-up. The average vertebral height was measured, and the differences from the preoperative values were calculated at each timepoint. A Pearson correlation coefficient and a linear multivariable regression were carried out at different timepoints. The time since the vertebral fracture was 60.4 ± 41.7 days. The patients’ average age was 73.8 ± 7 years. The total follow-up period was 1.43 ± 1 year. After vertebral cementation, there was an increase in the vertebral body height of +0.3 cm (13.6%). During the post-operative follow-up, there was a progressive collapse of the vertebral body, and the pre-surgical height was reached. The factors that most influenced the vertebral height restoration were: a grade III collapse, an intervertebral-vacuum-cleft (IVVC) and the use of a flexible trocar before cement augmentation. The factor that negatively influenced the vertebral body height restoration was the location of the thoracolumbar spine. Full article
(This article belongs to the Special Issue The Aging Spine)
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10 pages, 1232 KiB  
Article
Clinical Characteristics of Elderly People with Osteoporotic Vertebral Compression Fracture Based on a 12-Year Single-Center Experience in Korea
by Seung-Kwan Lee, Deuk-Soo Jun, Dong-Keun Lee and Jong-Min Baik
Geriatrics 2022, 7(6), 123; https://doi.org/10.3390/geriatrics7060123 - 31 Oct 2022
Cited by 5 | Viewed by 2605
Abstract
In an aging human population, osteoporotic vertebral compression fracture (OVCF) frequently occurs. We conducted this retrospective study to analyze the clinical characteristics of elderly people with OVCF who underwent percutaneous vertebroplasty or kyphoplasty over a 12-year period at a single medical center in [...] Read more.
In an aging human population, osteoporotic vertebral compression fracture (OVCF) frequently occurs. We conducted this retrospective study to analyze the clinical characteristics of elderly people with OVCF who underwent percutaneous vertebroplasty or kyphoplasty over a 12-year period at a single medical center in Korea. Between 2007 and 2019, A total of 868 patients (n = 868) were treated at our institution. We assessed 600 of these patients as eligible for study purposes and divided them into three groups: Group A (spine and hip T-scores ≤−2.5; n = 332); Group B (spine T-scores ≤−2.5; n = 189); and Group C (hip T-scores ≤−2.5; n = 79). The baseline characteristics of the patients included age, sex, body mass index (BMI), past history of steroid use, alcohol consumption, use of osteoporosis therapy, smoking, and treatment for OVCF. We compared these characteristics between the three groups. We found that the mean patient age was significantly higher in Group A, compared with Group B, and significantly lower in Group B, compared with Group C. We also found significant differences in the male-to-female ratio and mean body mass index between the three groups. In conclusion, we suggest that special attention should be paid to factors closely associated with spine and hip T-scores when evaluating elderly people with OVCF and determining appropriate treatment. Full article
(This article belongs to the Special Issue The Aging Spine)
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