{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T06:09:27Z","timestamp":1784182167659,"version":"3.55.0"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Spinal metastases (SM) are increasingly common. In an aging population, this trend raises concerns regarding the safety and efficacy of surgical treatment (ST) in geriatric patients. This study aimed to compare postoperative outcomes, complications, recurrence, readmission, and mortality between geriatric and non-geriatric patients undergoing ST for SM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Our retrospective cohort study included 277 patients who underwent ST for SM between 2012 and 2024. Patients were stratified into non-geriatric (&amp;lt; 70\u202fyears,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f161) and geriatric (\u2265 70\u202fyears,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f116) groups. Clinical and surgical parameters, including complications, recurrence, readmission, and survival, were analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Geriatric patients had a higher preoperative comorbidity burden and lower functional status. However, early outcomes, such as postoperative complications, readmission rates, and local tumor recurrence, did not differ significantly between age groups. Median overall survival was 12.0\u202fmonths in patients &amp;lt; 70\u202fyears and 10.5\u202fmonths in patients \u2265 70\u202fyears (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.026). The multivariable analysis shows that obesity (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.028), Surgical stabilization (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.043), prolonged postoperative mechanical ventilation (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.041), early surgical complications (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.009), and a preoperative Karnofsky Performance Scale &amp;lt; 70% (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.036) were independently associated with increased 1-year mortality in geriatric patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our data demonstrates that geriatric patients undergoing ST for SM did not experience worse early postoperative outcomes. Careful patient selection based on functional status and perioperative risk factors remains essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1897474","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T05:37:48Z","timestamp":1784180268000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Spinal metastases in geriatric patients: a retrospective single-center comparison of mortality and surgical outcomes following neurosurgical treatment"],"prefix":"10.3389","volume":"13","author":[{"given":"Saif-Eldin","family":"Abedellatif","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marija","family":"Janjic","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Logman","family":"Khalafov","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harun","family":"Asoglu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane","family":"Dittmer","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitham","family":"Alenezi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Maiseyeu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Jaber","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muriel","family":"Heimann","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Lampmann","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hartmut","family":"Vatter","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motaz","family":"Hamed","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Banat","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn","place":["Bonn, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1016\/S1474-4422(08)70089-9","article-title":"Metastatic epidural spinal cord compression","volume":"7","author":"Cole","year":"2008","journal-title":"Lancet Neurol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"vdae051","DOI":"10.1093\/noajnl\/vdae051","article-title":"Contemporary trends in the incidence and timing of spinal metastases: a population-based study","volume":"6","author":"Shakil","year":"2024","journal-title":"Neuro-Oncol Adv"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1016\/j.rce.2018.10.012","article-title":"Metastatic spinal cord compression: incidence, epidemiology and prognostic factors","volume":"219","author":"Campillo-Recio","year":"2019","journal-title":"Rev Clin 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