ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2020
Does obesity impact lumbar sagittal alignment and clinical outcomes after a posterior lumbar spine fusion?
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 14 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 Spino-Pelvic Parameters on the Prediction of Lumbar and Thoraco-Lumbar Segment Angles in the Supine Position.Journal of personalized medicine · 2022Article
- Obesity and Spine Surgery: A Qualitative Review About Outcomes and Complications. Is It Time for New Perspectives on Future Researches?Global spine journal · 2022Article
- Study of quality of life and its correlated factors in patients after lumbar fusion for lumbar degenerative disc disease.Frontiers in surgery · 2022Article
- Obesity and perioperative outcomes in older surgical patients undergoing elective spine and major arthroplasty surgery.Journal of clinical anesthesia · 2021Article
- [Study of modified subcutaneous lumbar spine index as a predictor for short-term effectiveness in transforaminal lumbar interbody fusion].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- [Research progress in effect of obesity on the effectiveness of posterior lumbar fusion].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
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9 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study is to compare clinical patient-reported outcomes and radiographic sagittal parameters between obese and non-obese patients following open posterior lumbar spine fusion (PLSF).
methodsA retrospective cohort study was conducted for patients who underwent open PLSF from 2011 to 2018. Patients were classified as obese as per Center for Disease Control and Prevention guidelines if their body mass index (BMI) ≥ 30 kg/m
resultsA total of 569 patients were included; 290 (50.97%) patients with BMI < 30 (non-obese) and 279 (49.03%) patients with BMI ≥ 30 (obese). Patients classified as obese were more likely to have a diagnosis of diabetes mellitus (p < 0.001), and American Society of Anesthesiologists Physical Status Classification System of ≥ 3 (p < 0.001). Obese patients had significantly longer operative times (p < 0.001) compared to non-obese patients. There was no difference in radiographic measurements, patient-reported outcomes, postoperative complications, or reoperations between groups.
conclusionObese patients had significantly more comorbidities and longer operative time compared to non-obese patients. However, sagittal parameters, patient-reported outcomes, inpatient complications, length of hospital stay, and reoperations were similar between groups. Given these findings, open PLSF can be considered safe and effective in obese patients after thorough consideration of related comorbidities. These slides can be retrieved under Electronic Supplementary Material.
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