Obesity increases the risk of recurrent herniated nucleus pulposus after lumbar microdiscectomy

Meredith, Dennis; Huang, Russel C.; Nguyen, Joseph; Lyman, Stephen

doi:10.1016/j.spinee.2010.02.021

Cited by 121 publications

(103 citation statements)

References 41 publications

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“…Although in our study a direct relationship between these variables was not found, it is possible to hypothesize that physical inactivity is associated with higher scores of obesity, a variable related to the appearance of a herniated disc; obese individuals present 12 times more chances of presenting a herniated disc when compared to non-obese individuals 39 .…”

Section: Discussioncontrasting

confidence: 79%

Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP

Trindade

Araújo²,

Rocha³

et al. 2016

J Physical Edu

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Aging is associated with a higher prevalence of chronic diseases, which can be minimized by a healthy and active lifestyle. The aim of this study was to analyze the occurrence of chronic diseases in Public Healthcare System patients, according to the level of physical activity. In total 542 patients, 29.7% (n = 161) male and 70.3% (n = 381) female, were evaluated in two Basic Health Units. The level of physical activity, presence of diseases and economic condition were verified through the use of questionnaires. Obesity was assessed using the Body Mass index (in kg/m²). Cardiac arrhythmia diseases (p = 0.033), arthritis/osteoarthritis (p = 0.010) and a herniated disc (p = 0.006) were associated with the level of physical activity. It is concluded that the level of physical activity is associated with the occurrence of chronic diseases in patients over the age of 50 years served by the Public Healthcare System of Presidente Prudente/SP city. Keywords: Public Healthcare System. Chronic diseases. Physical activity. RESUMOO envelhecimento está associado a maior prevalência de doenças crônicas não transmissíveis, fato que pode ser minimizado em decorrência de estilo de vida saudável e ativo. O objetivo deste estudo foi analisar a ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde, de acordo com o nível de atividade física. Participaram 542 pacientes, 29,7% (n=161) do sexo masculino e 70,3% (n=381) feminino, que foram avaliados em duas Unidades Básicas de Saúde. O nível de atividade física, presença de doenças e condição econômica foram verificados através de questionários. Obesidade foi verificada utilizando o índice da Massa Corporal (em Kg/m²). As doenças arritmia cardíaca (p=0,033), artrite/artrose (p=0,010) e hérnia de disco (p=0,006) foram associadas com o nível de atividade física. Conclui-se que o nível de atividade física está associado ao acometimento de doenças crônicas não transmissíveis em pacientes com idade acima de 50 anos atendidos pelo Sistema único de Saúde de Presidente Prudente/SP. Palavras-chave: Sistema Único de Saúde. Doenças crônicas. Atividade física.

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Section: Discussioncontrasting

confidence: 79%

Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP

Trindade

Araújo²,

Rocha³

et al. 2016

J Physical Edu

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show abstract

“…In contrast with these findings, however, some studies found no relationship between smoking and rLDH. [21][22][23] Clinical studies of disc height and recurrence have shown that degenerative segments with preserved disc height have a latent instability compared with segments with collapsed discs. 8 Other studies have shown that the restabilisation stage begins when disc height is reduced by 50%.…”

Section: Discussionmentioning

confidence: 99%

Factors that influence recurrent lumbar disc herniation

Yaman

Kazanci²,

Yaman

et al. 2017

Hong Kong Med J

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“…When excess weight is carried, the spine is forced to sustain increased or altered stress, which may lead to advanced degeneration [43]. Meredith et al [21] reviewed all cases of patients with a minimum followup of 6 months who had one-or two-level lumbar microdiscectomies from L2 to S1 performed by one surgeon, and reported that obesity was a strong and independent predictor of recurrent herniation of the nucleus pulposus after lumbar microdiscectomy.…”

Section: Discussionmentioning

confidence: 99%

Does Obesity Affect the Surgical Outcome and Complication Rates of Spinal Surgery? A Meta-analysis

Jiang

Teng

Fan

et al. 2014

Clinical Orthopaedics &Amp; Related Research

160

130

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Background As obesity becomes more prevalent, it becomes more common among patients considering orthopaedic surgery, including spinal surgery. However, there is some controversy regarding whether obesity is associated with complications, failed reconstructions, or reoperations after spinal surgery. Questions/purposes We wished to determine, in patients undergoing spine surgery, whether obesity is associated with (1) surgical site infection, (2) mortality and the need for revision surgery after spinal surgery, and (3) increased surgical time and blood loss. Methods A systematic literature search was performed to collect comparative or controlled studies that evaluated the influence of obesity on the surgical and postoperative outcomes of spinal surgery. Two reviewers independently selected trials, extracted data, and assessed the methodologic quality and quality of evidence. Pooled odds ratios (OR) and mean differences (MD) with 95% CIs were calculated using the fixed-effects model or random-effects model. Data were analyzed using RevMan 5.1. MOOSE criteria were used to ensure this project's validity. Thirtytwo studies involving 97,326 patients eventually were included. Results Surgical site infection (OR, 2.33; 95% CI, 1.94-2.79), venous thromboembolism (OR, 3.15; 95% CI, 1.92-5.17), mortality (OR, 2.6; 95% CI, 1.50-4.49), revision rate (OR, 1.43; 95% CI, 1.05-1.93) operating time (OR, 14.55; 95% CI,, and blood loss (MD, 28.89; 95% CI,, were all significantly increased in the obese group. Conclusion Obesity seemed to be associated with higher risk of surgical site infection and venous thromboembolism, more blood loss, and longer surgical time. Future prospective studies are needed to confirm the relationship between obesity and the outcome of spinal surgery.

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Obesity increases the risk of recurrent herniated nucleus pulposus after lumbar microdiscectomy

Cited by 121 publications

References 41 publications

Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP

Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP

Factors that influence recurrent lumbar disc herniation

Does Obesity Affect the Surgical Outcome and Complication Rates of Spinal Surgery? A Meta-analysis

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