Mortality Predictors for Operative Management of Acute Sub-Axial Cervical Spine Fractures in Elderly Patients 

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In this presentation, Abdul Azeem Badurudeen discusses his research on mortality predictors following surgical management of sub-axial spine injuries in the elderly. He addresses the demographic shifts indicating an aging population and the increasing prevalence of cervical spine injuries among older adults. The study aims to identify factors influencing mortality rates in patients over 65 years with isolated sub-axial cervical spine injuries managed operatively. The retrospective study, conducted at University Hospital of Wales, highlights the inclusion criteria, data collected, and the analysis of various hematological and comorbidity factors. Despite the anticipated correlations, the study found no significant predictors for 30-day or one-year mortality among the patients studied. With a mean age of 73.8 years, the typical findings include a high occurrence of anterior surgical procedures and a notable mortality rate, with 30-day mortality at 13% and one-year mortality at 31%. Badurudeen emphasizes the multifactorial nature of mortality and the importance of preoperative counseling, suggesting further multicenter prospective studies are necessary for clearer conclusions.

DOI: 10.1302/3114-221755

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