Impact of obesity on complications and surgical outcomes of adult degenerative scoliosis with long-segment spinal fusion

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dc.contributor.authorTruong, Van Tri
dc.contributor.authorSunna, Tarek P.
dc.contributor.authorAl-Shakfa, Fidaa
dc.contributor.authorMc Graw, M.
dc.contributor.authorBoubez, Ghassan
dc.contributor.authorShédid, Daniel
dc.contributor.authorYuh, Sung-joo
dc.contributor.authorWang, Zhi
dc.contributor.departmentSurgery
dc.contributor.departmentDivision of Neurosurgery
dc.contributor.facultyFaculty of Medicine (FM)
dc.contributor.institutionAmerican University of Beirut
dc.date.accessioned2025-01-24T12:14:17Z
dc.date.available2025-01-24T12:14:17Z
dc.date.issued2022
dc.description.abstractIntroduction: 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
dc.identifier.doihttps://doi.org/10.1016/j.neuchi.2021.12.005
dc.identifier.eid2-s2.0-85124212955
dc.identifier.pmid34995565
dc.identifier.urihttp://hdl.handle.net/10938/33168
dc.language.isoen
dc.publisherElsevier Masson s.r.l.
dc.relation.ispartofNeurochirurgie
dc.sourceScopus
dc.subjectBody mass index
dc.subjectObesity
dc.subjectReoperation
dc.subjectSpinal fusion
dc.subjectTreatment outcome
dc.subjectAdult
dc.subjectHumans
dc.subjectLumbar vertebrae
dc.subjectPostoperative complications
dc.subjectRetrospective studies
dc.subjectScoliosis
dc.subjectAdult degenerative scoliosis
dc.subjectAdult disease
dc.subjectArticle
dc.subjectBody mass
dc.subjectCerebrovascular accident
dc.subjectClinical article
dc.subjectControlled study
dc.subjectDeep vein thrombosis
dc.subjectDelirium
dc.subjectDeterioration
dc.subjectEpidural hematoma
dc.subjectFemale
dc.subjectFollow up
dc.subjectHeart infarction
dc.subjectHuman
dc.subjectIleus
dc.subjectLength of stay
dc.subjectLong segment spinal fusion
dc.subjectLung embolism
dc.subjectMale
dc.subjectOperation duration
dc.subjectOperative blood loss
dc.subjectPneumonia
dc.subjectPostoperative complication
dc.subjectPostoperative period
dc.subjectProximal junction fracture
dc.subjectRetrospective study
dc.subjectSpine fusion
dc.subjectSurgical infection
dc.subjectSurgical mortality
dc.subjectThrombophlebitis
dc.subjectTransient ileus
dc.subjectWound dehiscence
dc.subjectAdverse event
dc.subjectComplication
dc.subjectLumbar vertebra
dc.subjectProcedures
dc.titleImpact of obesity on complications and surgical outcomes of adult degenerative scoliosis with long-segment spinal fusion
dc.typeArticle

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