ArticleGlobal spine journal2018
Does Obesity Explain the Effect of the Metabolic Syndrome on Complications Following Elective Lumbar Fusion? A Propensity Score Matched Analysis.
Article in Global spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 20 citations in OpenAlex.
- The impact of morbid obesity and metabolic syndrome in elective spine surgery outcomes: A systematic review.North American Spine Society journal · 2026Review
- Impact of Metabolic Syndrome on Patient-Reported and Clinical Outcomes in Patients Undergoing Primary Total Joint Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Metabolic Syndrome as a Risk Factor for Postoperative Complication in Patients Undergoing Spine Surgery: A Systematic Review and Meta-Analysis of More Than 3 Million Cases.International journal of spine surgery · 2025Article
- The impact of metabolic syndrome on one-year patient-reported outcomes after lumbar fusion surgery.North American Spine Society journal · 2025Article
- Postoperative Complications in Patients With Metabolic Syndrome Following Unicompartmental Knee Arthroplasty.Cureus · 2024Article
- A component-based analysis of metabolic syndrome's impact on 30-day outcomes after hip fracture: reduced mortality in obese patients.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Impact of metabolic syndrome on morbidity and mortality following transforaminal interbody fusion (TLIF).Journal of orthopaedics · 2023Article
- The Effect of Modifiable Risk Factors on Postoperative Complications in Lumbar Spine Fusions.Global spine journal · 2023Article
- Metabolic Syndrome: Is Arthroscopic Rotator Cuff Repair Safe in This Patient Population?Cureus · 2023Article
- The Effect of Diabetes and Metabolic Syndrome on Spine Surgery Outcomes.Current reviews in musculoskeletal medicine · 2023Review
- Obesity and Spine Surgery: A Qualitative Review About Outcomes and Complications. Is It Time for New Perspectives on Future Researches?Global spine journal · 2022Article
- Modified Metabolic Syndrome Predicts Worse Outcomes in Obese Patients Undergoing Inguinal Hernia Repair.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Metabolic syndrome increases risk for perioperative outcomes following posterior lumbar interbody fusion.Medicine · 2020Observational
- Patients with metabolic syndrome have a greater rate of complications after arthroplasty: A systematic review and meta-analysis.Bone & joint research · 2020Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designPropensity score matched retrospective cohort study.
objectivesObesity is a major confounder in determining the independent effect of metabolic syndrome (MetS) on complications after spinal surgery. The purpose of this study is to differentiate MetS from obesity as an independent influence on perioperative outcomes after elective lumbar spine fusion.
methodsOne- to 3-level posterior spinal fusion cases were identified from the 2011-2014 American College of Surgeons' National Surgical Quality Improvement Program. To determine the effects of MetS outside of obesity itself, patients with MetS were first compared to a no-MetS cohort and then to an obese-only no-MetS cohort. Two propensity score matches based on demographics, comorbidities, surgical complexity, and diagnosis were used to match patients in 1:1 ratios and compare outcomes. Logistic regression with propensity score adjustment was further utilized as a secondary method of reducing selection bias.
resultsOut of 18 605 patients that met criteria for inclusion, 1903 (10.2%) met our definition of MetS. Patients with MetS had a higher rate of wound complications (3.8% vs 2.7% obese no MetS,
conclusionsEven after controlling for obesity, MetS is an independent risk factor for adverse short-term outcomes. These findings have various implications for preoperative risk stratification and reduction strategies.
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