Impact of body mass index on surgical outcomes and complications in adult spinal deformity

Hashimoto, Jun; Yoshii, Toshitaka; Sakai, Kenichiro; Hirai, Takashi; Yuasa, Masato; Inose, Hiroyuki; Kawabata, Atsuyuki; Utagawa, Kurando; Yu, Miao; Tomori, Masaki; Torigoe, Ichiro; Yamada, Takatsugu; Kusano, Kazuo; Otani, Kazuyuki; Sumiya, Satoshi; Numano, Fujiki; Fukushima, Kazuyuki; Tomizawa, Shoji; Arai, Yoshiyasu; Shindo, Shigeo; Okawa, Atsushi

doi:10.1016/j.jos.2020.11.016

Cited by 7 publications

(8 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This age group is also when a lot of people tend to put on weight and may become overweight or obese, [17] which also has been associated with repositioning of the trunk to maintain a balanced position and may result in increased loading of the intervertebral discs and the spinal elements resulting in degeneration of these spinal structures and the resultant occurrence of low back pain in such people. [8,21,22] There was a slight female preponderance in our study M:F 1:1.1. Erick PN.…”

Section: Discussionmentioning

confidence: 39%

“…Other studies have shown the occurrence of chronic low back pain in advanced age with mean ages of around 70 years. [8,22]. 37.1% of those with low back pain in this study fell within the age group of 51 to 60 years of age the most commonly occurring age group.…”

Section: Discussionmentioning

confidence: 69%

“…Other investigators found a linear relationship of Body adipose index (BAI) with increasing lumbar lordisis. [22] Canbek et al in their study had a mean lumbar lordisis of 48.27±18.06, but found no statistically significant change in lumbar lordosis across various BMI groups. [8] Other studies found a reduced lumbar lordosis with increasing weight.…”

Section: Discussionmentioning

confidence: 76%

“…Obesity has been associated with an onset of low back pain and has been shown to alter the course of low back pain, has an adverse effect on patients with low back pain, and affect treatment in patients undergoing non operative or operative treatments for low back pain conditions. [12,20,22,24,25] Obesity has been noticed to be on the rise worldwide and particularly in the west and in countries who are embracing more westernized diets and whose lifestyles are becoming more sedentary. [17,18].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The Effects of Patients BMI on Lumbo Pelvic Parameters in Patients with Chronic Low Back Pain in Jos North Central Nigeria

Ode¹,

Tony²,

Olu³

et al. 2021

View full text Add to dashboard Cite

Introduction. The pelvic posture is defined by measurable radiologic parameters which are related to the lumbar and sacral spine. These parameters include, pelvic tilt (PT), lumbar Lordosis (LL), Sacral slope (SS), Pelvic incidence (PI) and the Lumbosacral angle (LSA) The lumbopelvic parameters in the lower back have been noticed to be altered in patients presenting with low back pain. Increased BMI has been found to be a contributing factor in the onset and course of low back pain. Increased weight especially around the trunk affects the dynamics of posturing to maintain sagittal balance. We set out to determine the extent BMI influenced the lumbopelvic parameters in patients presenting with chronic nonspecific low back pain. Methods. This was a prospective cross sectional study. There were three BMI groups; normal weight (BMI19-24.9), overweight (BMI 25-29.9) and obese (BMI>30). All subjects had standing lateral radiographs of the spine. The pelvic parameters; PI, LL PT, SS and LSA, were measured. The mean values and standard deviations of the parameters in each group was determined. Analysis of variance was used to determine differences in means The relationships between all parameters were assessed using Spearman's coefficients and statistically significant correlation coefficients were determined. The level of significance was set at P<0.05Results. A hundred and forty patients participated in the study. Their ages ranged from 18 to 65years.

show abstract

Section: Discussionmentioning

confidence: 39%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Effects of Patients BMI on Lumbo Pelvic Parameters in Patients with Chronic Low Back Pain in Jos North Central Nigeria

Ode¹,

Tony²,

Olu³

et al. 2021

View full text Add to dashboard Cite

show abstract

“…These data confirmed that older age and poorer overall health condition may have a moderate negative impact on the level of complications and disability or pain after surgery [ 23 , 24 , 25 ], but this negative influence dissipates over time. Thus, these patients can also expect positive outcomes after long spine fusion [ 26 , 27 , 28 , 29 ], but have to be adequately informed that a poorer preoperative health status correlates with longer recovery time. Surgeons, however, need to consider that obesity and age or comorbidities have a relevant impact on intraoperative blood loss, length of surgery, and complication rate; thus, preoperative BMI and ASA should still be considered when planning long spine fusion [ 30 , 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Perioperative Predictive Factors for Positive Outcomes in Spine Fusion for Adult Deformity Correction

Baroncini

Migliorini

Langella

et al. 2021

JCM

View full text Add to dashboard Cite

Purpose: Identifying perioperative factors that may influence the outcomes of long spine fusion for the treatment of adult deformity is key for tailored surgical planning and targeted informed consent. The aim of this study was to analyze the association between demographic or perioperative factors and clinical outcomes 2 years after long spine fusion for the treatment of adult deformity. Methods: This study is a multivariate analysis of retrospectively collected data. All patients who underwent long fusion of the lumbar spine for adult spinal deformity (January 2016–June 2019) were included. The outcomes of interest were the Oswestry disability index (ODI), visual analogic scale (VAS) preoperatively and at 1 and 2 years’ follow up, age, body mass index, American Society of Anaesthesiologists (ASA) score, upper and lowest instrumented vertebrae (UIV and LIV, respectively), length of surgery, estimated blood loss, and length of hospital stay. Results: Data from 192 patients were available. The ODI at 2 years correlated weakly to moderately with age (r = 0.4), BMI (r = 0.2), ASA (r = 0.3), and LIV (r = 0.2), and strongly with preoperative ODI (r = 0.6). The leg VAS at 2 years moderately correlated with age (r = 0.3) and BMI (r = 0.3). Conclusion: ODI and VAS at 2 years’ follow-up had no to little association to preoperative age, health status, LIV, or other peroperative data, but showed a strong correlation with preoperative ODI and pain level.

show abstract

Sagittal alignment of diverse mechanical complications following adult spinal deformity surgery

Pan,

Bourghli,

Larrieu

et al. 2024

Eur Spine J

View full text Add to dashboard Cite

Impact of body mass index on surgical outcomes and complications in adult spinal deformity

Cited by 7 publications

References 29 publications

The Effects of Patients BMI on Lumbo Pelvic Parameters in Patients with Chronic Low Back Pain in Jos North Central Nigeria

The Effects of Patients BMI on Lumbo Pelvic Parameters in Patients with Chronic Low Back Pain in Jos North Central Nigeria

Perioperative Predictive Factors for Positive Outcomes in Spine Fusion for Adult Deformity Correction

Sagittal alignment of diverse mechanical complications following adult spinal deformity surgery

Contact Info

Product

Resources

About