{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T19:59:24Z","timestamp":1789588764615,"version":"build-2803163510"},"reference-count":29,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>With improving medical therapies for chronic conditions, elderly patients increasingly present as candidates for operative intervention for degenerative diseases of the spine. To date, there is a paucity of studies examining complications in lumbar decompression, without fusion, that include patients older than 80 years. Using a multicenter national database, the authors of this study evaluated lumbar decompression in the elderly, including octogenarians, to evaluate for associations between age and patient outcomes.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>The 2011\u20132013 American College of Surgeons' National Surgical Quality Improvement Program data set was queried for patients 65 years and older with diagnosis and procedure codes inclusive of degenerative spine disease and lumbar decompression without fusion. Morbidity and mortality within the 30-day postoperative period were the primary outcomes. Secondary outcomes of interest included unplanned readmission within 30 days or discharge to a nonhome facility. Outcomes and operative characteristics were compared using chi-square tests, Kruskal-Wallis tests, and multivariable logistic regression models.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A total of 8744 patients were identified; of these patients 4573 (52.30%) were 65 years and older. Elderly patients were stratified into 3 age categories: 85 years or older (n = 314), 75\u201384 years (n = 1663), and 65\u201374 years (n = 2596). Univariate analysis showed that, compared with age younger than 65 years, increased age was associated with the number of levels (\u2265 3), readmissions within 30 days, nonhome discharge, any complication, length of stay, and blood transfusion (all p &lt; 0.001). On multivariable analysis and with younger than 65 years as the reference, increased age was associated with any minor complication (p &lt; 0.001; \u2265 85 years: OR 3.47, 95% CI 1.69\u20137.13; 75\u201384 years: OR 2.34, 95% CI 1.45\u20133.78; and 65\u201374 years: OR 1.44, 95% CI 0.94\u20132.20), as well as discharge location other than home (p &lt; 0.001; \u2265 85 years: OR 13.59, 95% CI 9.47\u201319.49; 75\u201384 years: OR 5.64, 95% CI 4.33\u20137.34; and 65\u201374 years: OR 2.61, 95% CI 2.05\u20133.32).<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>The authors' high-powered, multicenter analysis of lumbar decompression without fusion in the elderly, specifically including patients older than 80 years, demonstrates that increased age is associated with more extensive operations, resulting in longer hospital stays, increased rates of nonhome discharge, and minor complications.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2016.8.spine16616","type":"journal-article","created":{"date-parts":[[2016,11,18]],"date-time":"2016-11-18T15:01:51Z","timestamp":1479481311000},"page":"353-362","source":"Crossref","is-referenced-by-count":52,"title":["Lumbar decompression in the elderly: increased age as a risk factor for complications and nonhome discharge"],"prefix":"10.3171","volume":"26","author":[{"given":"Meghan E.","family":"Murphy","sequence":"first","affiliation":[{"name":"Department of Neurologic Surgery, Mayo Clinic;"},{"name":"Mayo Clinic Neuro-Informatics Laboratory; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Gilder","sequence":"additional","affiliation":[{"name":"Department of Neurologic Surgery, Mayo Clinic;"},{"name":"Mayo Clinic Neuro-Informatics Laboratory; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick R.","family":"Maloney","sequence":"additional","affiliation":[{"name":"Department of Neurologic Surgery, Mayo Clinic;"},{"name":"Mayo Clinic Neuro-Informatics Laboratory; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon A.","family":"McCutcheon","sequence":"additional","affiliation":[{"name":"Department of Neurologic Surgery, Mayo Clinic;"},{"name":"Mayo Clinic Neuro-Informatics Laboratory; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Rinaldo","sequence":"additional","affiliation":[{"name":"Department of Neurologic Surgery, Mayo Clinic;"},{"name":"Mayo Clinic Neuro-Informatics Laboratory; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Shepherd","sequence":"additional","affiliation":[{"name":"Department of Neurologic Surgery, Mayo Clinic;"},{"name":"Mayo Clinic Neuro-Informatics Laboratory; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Kerezoudis","sequence":"additional","affiliation":[{"name":"Department of Neurologic Surgery, Mayo Clinic;"},{"name":"Mayo Clinic Neuro-Informatics Laboratory; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel S.","family":"Ubl","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia S.","family":"Crowson","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Krauss","sequence":"additional","affiliation":[{"name":"Department of Neurologic Surgery, Mayo Clinic;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth B.","family":"Habermann","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad","family":"Bydon","sequence":"additional","affiliation":[{"name":"Department of Neurologic Surgery, Mayo Clinic;"},{"name":"Mayo Clinic Neuro-Informatics Laboratory; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-spine16616","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E648","DOI":"10.1097\/01.brs.0000231727.88477.da","article-title":"Preoperative predictors for postoperative clinical outcome in lumbar spinal stenosis: systematic review","volume":"31","author":"Aalto TJ,","year":"2006","unstructured":"Aalto TJ, Malmivaara A, Kovacs F, Herno A, Alen M, Salmi L, : Preoperative predictors for postoperative clinical outcome in lumbar spinal stenosis: systematic review. 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