2018 AANS Annual Scientific Meeting-534. Elderly Patients Have Worse EQ-5D Outcomes After Spondylolisthesis Surgery Than Young Patients, Yet They Are Satisfied With Surgery

534. Elderly Patients Have Worse EQ-5D Outcomes After Spondylolisthesis Surgery Than Young Patients, Yet They Are Satisfied With Surgery

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Video Transcription

Video Summary

Dr. DiGiorgio discusses the outcomes of elderly patients who undergo spondylolisthesis surgery compared to young patients. He highlights that randomized clinical trials often exclude patients over 80, so registry data is valuable in examining real-world outcomes. The study analyzed data from 12 sites and found that elderly patients had slightly better back pain and EQ5D scores at baseline, but had less improvement in these areas after surgery compared to young patients. However, both groups had similar satisfaction scores. The study concludes that while elderly patients may have worse outcomes, carefully selected surgery can still be beneficial. The video credits Dr. Andrew Chan, Dr. Mumineti, the UCSF group, the National Registry for Evidence-based Programs and Practices (NREF), and Medtronic.

Asset Caption

Anthony DiGiorgio, DO

Keywords

spondylolisthesis surgery

elderly patients

young patients

registry data

real-world outcomes