Impact of obesity on complications and surgical outcomes of adult degenerative scoliosis with long-segment spinal fusion
Loading...
Date
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier Masson s.r.l.
Abstract
Introduction: The relationship between obesity and outcome of spine surgery has been controversial. The impact of obesity on surgical outcomes of patients undergoing long- segment (6 vertebrae or more) spinal fusion have not been studied. This study was designed to define the influence of obesity on the outcomes of patients undergoing long-segment spinal fusion. Methods and Materials: A retrospective study of patients undergoing long-segment (6 vertebrae or more) spinal fusion was realized. Patients were divided into non-obese group and obese group. Variables such as blood loss, operative time, length of stay, complications, reoperation rates, and clinical outcome were compared between the two groups. Results: Thirty-four non-obese patients (BMI: 26.43 ± 0.87) and 27 obese ones (BMI: 35.35 ± 1.81) were recruited. Number of fused levels in non-obese group was not significantly different from obese group (9.06 ± 0.57 vertebrae vs 8.85 ± 0.68 vertebrae, P = 0.65). There was no significant difference between non-obese group and obese group in the blood loss during surgery (P= 0.12), the operating time (P = 0.46) and the length of hospitalization (P = 0.64). Similarly, no significant difference was found in surgical complications (P = 0.76) and medical complications (P = 0.82) between the two groups. The rate of ambulatory improvement is similar between non-obese group and obese group (P = 0.64). Conclusion: Our study showed that there was no relationship between obesity and adverse surgical outcomes in ADS surgery with long-segment (6 vertebrae or more) spinal fusion. © 2022 Elsevier Masson SAS
Description
Keywords
Body mass index, Obesity, Reoperation, Spinal fusion, Treatment outcome, Adult, Humans, Lumbar vertebrae, Postoperative complications, Retrospective studies, Scoliosis, Adult degenerative scoliosis, Adult disease, Article, Body mass, Cerebrovascular accident, Clinical article, Controlled study, Deep vein thrombosis, Delirium, Deterioration, Epidural hematoma, Female, Follow up, Heart infarction, Human, Ileus, Length of stay, Long segment spinal fusion, Lung embolism, Male, Operation duration, Operative blood loss, Pneumonia, Postoperative complication, Postoperative period, Proximal junction fracture, Retrospective study, Spine fusion, Surgical infection, Surgical mortality, Thrombophlebitis, Transient ileus, Wound dehiscence, Adverse event, Complication, Lumbar vertebra, Procedures