Evidence map›Paper›PMID 34128419›Full record

ArticleGlobal spine journal2022

Obesity and Spine Surgery: A Qualitative Review About Outcomes and Complications. Is It Time for New Perspectives on Future Researches?

Fabio Cofano, Giuseppe Di Perna, Daria Bongiovanni, Vittoria Roscigno, Bianca Maria Baldassarre, Salvatore Petrone, Fulvio Tartara, Diego Garbossa, Marco Bozzaro

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Impact of obesity on patient-reported outcome measures and complications following anterior cervical surgery for cervical spondylosis: A cohort study Of 7,993 patients.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 · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Fabio CofanoSpine Surgery Unit, Humanitas Gradenigo Hospital, Turin, Italy.ORCID https://orcid.org/0000-0002-5100-7478
Giuseppe Di PernaDepartment of Neuroscience "Rita Levi Montalcini," Unit of Neurosurgery, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-7381-9194
Daria BongiovanniDivision of Endocrinology, Andrology and Metabolism, Humanitas Gradenigo Hospital, Turin, Italy.
Vittoria RoscignoDivision of Endocrinology, Andrology and Metabolism, Humanitas Gradenigo Hospital, Turin, Italy.ORCID https://orcid.org/0000-0002-0282-4279
Bianca Maria BaldassarreDepartment of Neuroscience "Rita Levi Montalcini," Unit of Neurosurgery, University of Turin, Turin, Italy.
Salvatore PetroneDepartment of Neuroscience "Rita Levi Montalcini," Unit of Neurosurgery, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-9921-3879
Fulvio TartaraSpine Surgery Unit, Humanitas Gradenigo Hospital, Turin, Italy.
Diego GarbossaDepartment of Neuroscience "Rita Levi Montalcini," Unit of Neurosurgery, University of Turin, Turin, Italy.
Marco BozzaroSpine Surgery Unit, Humanitas Gradenigo Hospital, Turin, Italy.
Ospedale Humanitas Gradenigo · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designLiterature review.

objectivesAn increasing number of obese patients requires operative care for degenerative spinal disorders. The aim of this review is to analyze the available evidence regarding the role of obesity on outcomes after spine surgery. Peri-operative complications and clinical results are evaluated for both cervical and lumbar surgery. Furthermore, the contribution of MIS techniques for lumbar surgery to play a role in reducing risks has been analyzed.

methodsOnly articles published in English in the last 10 years were reviewed. Inclusion criteria of the references were based on the scope of this review, according to PRISMA guidelines. Moreover, only paper analyzing obesity-related complications in spine surgery have been selected and thoroughly reviewed. Each article was classified according to its rating of evidence using the Sacket Grading System.

resultsA total number of 1636 articles were found, but only 130 of them were considered to be relevant after thorough evaluation and according to PRISMA checklist. The majority of the included papers were classified according to the Sacket Grading System as Level 2 (Retrospective Studies).

conclusionEvidence suggest that obese patients could benefit from spine surgery and outcomes be satisfactory. A higher rate of peri-operative complications is reported among obese patients, especially in posterior approaches. The use of MIS techniques plays a key role in order to reduce surgical risks. Further studies should evaluate the role of multidisciplinary counseling between spine surgeons, nutritionists and bariatric surgeons, in order to plan proper weight loss before elective spine surgery.

Indexed as

bariatricsbariatric surgeryminimally-invasive techniquesobesityspinespine surgeryweight loss

Identifiers

PMID34128419
PMCPMC9210241
OpenAlexW3168677354

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.