Journal of Personalized Medicine
Spinal Multimorbidity, Sex-Associated Disability, and Consultation Patterns in Octogenarians and Nonagenarians: A 30-Year Single-Center Retrospective Study
Von Gabriel Oswaldo Alonso Cuéllar, Kai‐Uwe Lewandrowski, Jorge Alberto Pérez Terrazas und 6 weiteren.
Inhalt auf Englisch
Abstract
Purpose
To characterize baseline spinal multimorbidity, we investigated sex-associated differences in disability, and the temporal distribution of patients aged 80 years or older presenting to a tertiary spine center over three decades.
Methods
We performed a retrospective single-center study (1994–2024). Of 3199 screened unique patient medical records evaluated for low back pain, 193 unique patients were age-eligible; 71 were excluded for prespecified record-quality criteria, leaving 122 patients in the analytical cohort. Baseline Visual Analog Scale (VAS) scores were available for all 122 patients and Oswestry Disability Index (ODI) scores for 99. Diagnoses required clinical-imaging concordance. A Lumbar Pathology Count (LPC) summarized seven coexisting degenerative diagnosis categories. Temporal distributions across study periods (D1: 1994–2004, D2: 2005–2014, D3: 2015–2024) were examined descriptively. Multivariable robust linear regression evaluated the association between sex and ODI.