The Economics of Surgical Decision-Making in Geriatric Type II Odontoid Fractures: Reframing the Role of Frailty
In this contemporary cost-utility analysis, both age and frailty were key determinants of surgical value. Increasing frailty lowered the age threshold for cost-effective surgery. Incorporating frailty assessment may improve value-conscious surgical decision-making in geriatric odontoid fractures.
Authors
- François Mathieu (ORCID: https://orcid.org/0000-0002-7894-2466)
- Christopher D. Witiw (ORCID: https://orcid.org/0000-0002-3999-7632)
- Christopher S. Lozano (ORCID: https://orcid.org/0000-0001-5405-8572)
- Vishwathsen Karthikeyan (ORCID: https://orcid.org/0000-0003-1340-4744)
- Karlo M. Pedro (ORCID: https://orcid.org/0000-0001-5857-0135)
- Howard J. Ginsberg (ORCID: https://orcid.org/0000-0003-2718-6549)
- Jetan H. Badhiwala (ORCID: https://orcid.org/0000-0002-2528-1684)
- Husain Shakil (ORCID: https://orcid.org/0000-0003-3995-6811)
- Michael Fehlings (ORCID: https://orcid.org/0000-0002-0384-8408)
- Gregory D. Schroeder
- Alexander R. Vaccaro
Institutions
- St. Michael's Hospital (CA)
- Sunnybrook Health Science Centre (CA)
- University Health Network (CA)
- University of Toronto (CA)
- Thomas Jefferson University Hospital (US)
- Muscular Dystrophy Canada (CA)
- Rothman Orthopaedics (US)
- CARE Canada (CA)
- Public Health Ontario (CA)
Publication Details
- Journal
- Neurosurgery
- Published
- 2025-11-12
- DOI
- https://doi.org/10.1227/neu.0000000000003850
- Primary Topic
- Hip and Femur Fractures
- Type
- article
- Field-Weighted Citation Impact
- 0.00