Adverse effects of frailty on the outcomes of surgery for degenerative cervical myelopathy: results from a prospective multicenter international data set of 757 patients

CONCLUSIONS: Increasing frailty is associated with worse baseline functional and quality of life measures in patients undergoing surgery for DCM. Frailty does not affect the magnitude of improvement in outcome measures after surgery, but reduces the chance of achieving the MCID for functional impairment significantly. Preoperative frailty assessment can therefore help guide clinicians in managing expectations after surgery for DCM. Potentially modifiable factors should be optimized in frail patients preoperatively to enhance functional outcomes.PMID:37728372 | DOI:10.3171/2023.6.SPINE23461

Source: Journal of Neurosurgery.Spine - September 20, 2023 Category: Neurosurgery Authors: Jamie R F Wilson Jetan H Badhiwala Ali Moghaddamjou Alexander R Vaccaro Paul M Arnold Ronald H M A Bartels Giuseppe Barbagallo Michael G Fehlings Source Type: research