Review of neurosurgical operative procedures in patients in the tenth decade of life

Abstract

People over the age of 90 are hospitalized in neurosurgical departments, and the increase of life expectancy is conducive to such cases. Surgical treatment in older people is always at high risk, which may be due to the frailty syndrome that occurs. Qualification for surgical treatment of neurosurgical disorders in the elderly is not undertaken in the same way as in the younger population. This manuscript analyzes the patients in the 10th decade of life who were surgically treated at the neurosurgery clinic in 2019. It was shown that most of them were life threatening conditions. The most frequently operated disease was acute subdural hematoma, slightly less often chronic subdural hematoma and only a few cases of lumbar spine procedures. The analysis of patients treated surgically in comparison to patients not qualified for surgery because of other potenially neurosurgical diseases clearly indicates that surgical treatment of these patients is definitely rare.