{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:17:46Z","timestamp":1791821866923,"version":"4.3.4"},"reference-count":32,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2024,7]]},"DOI":"10.1016\/j.wneu.2024.05.045","type":"journal-article","created":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T10:11:48Z","timestamp":1715508708000},"page":"e1062-e1071","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"special_numbering":"C","title":["Modified 5-Item Frailty Index: A Useful Tool for Assessing the Impact of Frailty on Postoperative Morbidity and Mortality Following Surgical Fixation of Thoracolumbar Fractures"],"prefix":"10.1016","volume":"187","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3711-6640","authenticated-orcid":false,"given":"Khaled M.","family":"Taghlabi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4917-059X","authenticated-orcid":false,"given":"Ahmad A.","family":"Quaddoura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arsalan","family":"Nisar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paras","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lokeshwar S.","family":"Bhenderu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime R.","family":"Guerrero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aboud","family":"Tahanis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8219-9630","authenticated-orcid":false,"given":"Isuru A.","family":"Somawardana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7241-1018","authenticated-orcid":false,"given":"Rijul","family":"Nanda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4329-5422","authenticated-orcid":false,"given":"Amir H.","family":"Faraji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2024.05.045_bib1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.spinee.2012.10.041","article-title":"Management of thoracolumbar spine fractures","volume":"14","author":"Wood","year":"2014","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2024.05.045_bib2","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4184\/asj.2015.9.1.133","article-title":"Treatment of thoracolumbar fracture","volume":"9","author":"Kim","year":"2015","journal-title":"Asian Spine J"},{"key":"10.1016\/j.wneu.2024.05.045_bib3","doi-asserted-by":"crossref","first-page":"72","DOI":"10.4103\/0019-5413.143914","article-title":"Management of thoracolumbar spine trauma: an overview","volume":"49","author":"Rajasekaran","year":"2015","journal-title":"Indian J Orthop"},{"key":"10.1016\/j.wneu.2024.05.045_bib4","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1111\/imj.14120","article-title":"Lumbar spine fusion: what is the evidence?","volume":"48","author":"Harris","year":"2018","journal-title":"Intern Med J"},{"key":"10.1016\/j.wneu.2024.05.045_bib5","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD005079.pub2","article-title":"Operative versus non-operative treatment for thoracolumbar burst fractures without neurological deficit","author":"Yi","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.wneu.2024.05.045_bib6","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1097\/BRS.0000000000001253","article-title":"Nonoperative management in neurologically intact thoracolumbar burst fractures: clinical and radiographic outcomes","volume":"41","author":"Hitchon","year":"2016","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.05.045_bib7","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/j.injury.2012.12.005","article-title":"Advances made in the treatment of thoracolumbar fractures: current trends and future directions","volume":"44","author":"Pneumaticos","year":"2013","journal-title":"Injury"},{"key":"10.1016\/j.wneu.2024.05.045_bib8","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1007\/s00776-005-0956-y","article-title":"Thoracolumbar injury classification and severity score: a new paradigm for the treatment of thoracolumbar spine trauma","volume":"10","author":"Lee","year":"2005","journal-title":"J\u00a0Orthop Sci"},{"key":"10.1016\/j.wneu.2024.05.045_bib9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/978-3-030-33330-0_1","article-title":"Frailty: what is it?","volume":"1216","author":"Proietti","year":"2020","journal-title":"Adv Exp Med Biol"},{"key":"10.1016\/j.wneu.2024.05.045_bib10","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.jamcollsurg.2017.11.005","article-title":"New 5-factor modified frailty index using American College of surgeons NSQIP data","volume":"226","author":"Subramaniam","year":"2018","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.wneu.2024.05.045_bib11","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1001\/jamasurg.2017.1025","article-title":"Association of the modified frailty index with 30-day surgical readmission","volume":"152","author":"Wahl","year":"2017","journal-title":"JAMA Surg"},{"key":"10.1016\/j.wneu.2024.05.045_bib12","doi-asserted-by":"crossref","DOI":"10.1227\/neu.0000000000002818","article-title":"Elderly patients show Substantial improvement in health-Related quality of life after surgery for degenerative Cervical Myelopathy despite medical frailty: an Ambispective analysis of a Multicenter, International Data Set","author":"Pedro","year":"2024","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.05.045_bib13","doi-asserted-by":"crossref","first-page":"e626","DOI":"10.1016\/j.wneu.2018.12.168","article-title":"The modified 5-item frailty index: a concise and useful tool for assessing the impact of frailty on postoperative morbidity following elective posterior lumbar fusions","volume":"124","author":"Weaver","year":"2019","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2024.05.045_bib14","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.jocn.2022.07.020","article-title":"The 5-factor modified frailty index (mFI-5) is predictive of 30-day postoperative complications and readmission in patients with adult spinal deformity (ASD)","volume":"104","author":"Shah","year":"2022","journal-title":"J\u00a0Clin Neurosci"},{"key":"10.1016\/j.wneu.2024.05.045_bib15","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1001\/jamasurg.2018.0486","article-title":"Practical guide to surgical data sets: national surgical quality improvement program (NSQIP) and pediatric NSQIP","volume":"153","author":"Raval","year":"2018","journal-title":"JAMA surgery"},{"key":"10.1016\/j.wneu.2024.05.045_bib16","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.amjsurg.2018.11.020","article-title":"Impact of frailty on outcomes in surgical patients: a systematic review and meta-analysis","volume":"218","author":"Panayi","year":"2019","journal-title":"Am J Surg"},{"key":"10.1016\/j.wneu.2024.05.045_bib17","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1093\/neuros\/nyaa335","article-title":"Predicting postoperative outcomes in brain tumor patients with a 5-factor modified frailty index","volume":"88","author":"Huq","year":"2020","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.05.045_bib18","doi-asserted-by":"crossref","first-page":"e670","DOI":"10.1016\/j.wneu.2020.10.154","article-title":"Utility of the 5-item modified frailty index for predicting adverse outcomes following elective anterior Cervical Discectomy and fusion","volume":"146","author":"Zreik","year":"2021","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2024.05.045_bib19","doi-asserted-by":"crossref","first-page":"e225","DOI":"10.1016\/j.wneu.2018.04.172","article-title":"The 5-item modified frailty index is predictive of 30-day postoperative complications in patients undergoing Kyphoplasty Vertebral Augmentation","volume":"116","author":"Segal","year":"2018","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2024.05.045_bib20","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1007\/s00586-021-06857-6","article-title":"Identifying risks factors in thoracolumbar anterior fusion surgery through predictive analytics in a nationally representative inpatient sample","volume":"31","author":"Shahrestani","year":"2022","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2024.05.045_bib21","doi-asserted-by":"crossref","first-page":"773","DOI":"10.2106\/00004623-200305000-00001","volume":"85","author":"Wood","year":"2003","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.wneu.2024.05.045_bib22","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1093\/gerona\/62.7.722","article-title":"Frailty in relation to the accumulation of deficits","volume":"62","author":"Rockwood","year":"2007","journal-title":"J\u00a0Gerontol A Biol Sci Med Sci"},{"key":"10.1016\/j.wneu.2024.05.045_bib23","doi-asserted-by":"crossref","first-page":"537","DOI":"10.3171\/2015.10.SPINE14582","article-title":"Use of the modified frailty index to predict 30-day morbidity and mortality from spine surgery","volume":"25","author":"Ali","year":"2016","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2024.05.045_bib24","doi-asserted-by":"crossref","first-page":"E1394","DOI":"10.1097\/BRS.0000000000001886","article-title":"Frailty index is a significant predictor of complications and mortality after surgery for adult spinal deformity","volume":"41","author":"Leven","year":"2016","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.05.045_bib25","doi-asserted-by":"crossref","first-page":"e1186","DOI":"10.1016\/j.wneu.2023.04.095","article-title":"The 5-factor modified frailty index score predicts return to the operating room for patients undergoing posterior spinal fusion for traumatic spine injury","volume":"175","author":"Mehkri","year":"2023","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2024.05.045_bib26","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1016\/j.spinee.2016.06.017","article-title":"Frailty and postoperative outcomes in patients undergoing surgery for degenerative spine disease","volume":"16","author":"Flexman","year":"2016","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2024.05.045_bib27","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1097\/BRS.0000000000003936","article-title":"The five-item modified frailty index is predictive of 30-day postoperative complications in patients undergoing spine surgery","volume":"46","author":"Pierce","year":"2021","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.05.045_bib28","doi-asserted-by":"crossref","DOI":"10.1016\/j.clineuro.2022.107426","article-title":"Frailty predicts readmission, reoperation, and infection after posterior spinal fusion: an institutional series of 3965 patients","volume":"222","author":"Cloney","year":"2022","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2024.05.045_bib29","doi-asserted-by":"crossref","first-page":"E1616","DOI":"10.1097\/BRS.0b013e3182a8c3b7","article-title":"Fusion risk score: evaluating baseline risk in thoracic and lumbar fusion surgery","volume":"38","author":"Hartin","year":"2013","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.05.045_bib30","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.1302\/0301-620X.102B12.BJJ-2020-0874.R1","article-title":"Predicting postoperative complications in patients undergoing lumbar spinal fusion by using the modified five-item frailty index and nutritional status","volume":"102-B","author":"Kang","year":"2020","journal-title":"Bone Joint Lett J"},{"key":"10.1016\/j.wneu.2024.05.045_bib31","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1177\/21925682221124101","article-title":"Utility of the modified 5-Items frailty index to predict complications and mortality after elective Cervical, thoracic and lumbar posterior spine fusion surgery: Multicentric analysis from ACS-NSQIP database","volume":"14","author":"Camino-Willhuber","year":"2024","journal-title":"Global Spine J"},{"key":"10.1016\/j.wneu.2024.05.045_bib32","doi-asserted-by":"crossref","first-page":"24","DOI":"10.14444\/6003","article-title":"Thoracolumbar fusion in Extreme Obesity: complications and patient-reported outcomes","volume":"13","author":"Joseph","year":"2019","journal-title":"Int J Spine Surg"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024007988?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024007988?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T21:22:42Z","timestamp":1749676962000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875024007988"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":32,"alternative-id":["S1878875024007988"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2024.05.045","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Modified 5-Item Frailty Index: A Useful Tool for Assessing the Impact of Frailty on Postoperative Morbidity and Mortality Following Surgical Fixation of Thoracolumbar Fractures","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2024.05.045","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}