Navigating the Surgical Dilemma in Metastatic Spine Disease: Does Age Influence Treatment Strategy and Outcomes?
Age alone does not determine surgical success or survival in metastatic spine disease. Despite worse baseline status, older patients achieved short-term outcomes comparable to younger patients. Variation in managing SINS 7-12 suggests underuse of instrumentation in older patients underscoring the need for age-inclusive evidence-based guidelines integrating SINS with tumor biology, functional status and prognosis.
Authors
- Sandro M. Krieg (ORCID: https://orcid.org/0000-0003-4050-1531)
- Sebastian Ille (ORCID: https://orcid.org/0000-0003-2065-6464)
- Deniz Yalman (ORCID: https://orcid.org/0000-0002-4010-8353)
- Pavlina Lenga (ORCID: https://orcid.org/0000-0003-3842-0783)
- Basem Ishak (ORCID: https://orcid.org/0000-0002-6414-4295)
- Meltem Ivren
Institutions
- Heidelberg University (DE)
- University Hospital Heidelberg (DE)
- Heidelberg Engineering (Germany) (DE)
- Heidelberg University (US)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-12-13
- DOI
- https://doi.org/10.1016/j.wneu.2025.124720
- Primary Topic
- Management of metastatic bone disease
- Type
- article
- Field-Weighted Citation Impact
- 0.00