Evidence map›Paper›PMID 38529155›Full record

ArticleAnnals of joint2022

An age and sex matched study on the effect of obesity on the functional outcomes and complication rates in patients with adult spinal deformity undergoing primary multi-level thoracolumbar spinal fusion.

David Christopher Kieser, Michael Charles Wyatt, Louis Boissiere, Kazunori Hayashi, Derek Thomas Cawley, Caglar Yilgor, Daniel Larrieu, Ahmet Alanay, Emre Acaroglu, Frank Kleinstueck and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of joint, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

16 authors at 6 institutions in 6 countries.

David Christopher KieserDepartment of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch School of Medicine, Christchurch, New Zealand.
Michael Charles WyattDepartment of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch School of Medicine, Christchurch, New Zealand.ORCID 0000-0001-5283-2608
Louis BoissiereL'Institut de la Colonne Vertébrale, CHU Pellegrin, Bordeaux, France.
Kazunori HayashiL'Institut de la Colonne Vertébrale, CHU Pellegrin, Bordeaux, France.
Derek Thomas CawleyL'Institut de la Colonne Vertébrale, CHU Pellegrin, Bordeaux, France.
Caglar YilgorAcibadem University School of Medicine, Istanbul, Turkey.
Daniel LarrieuL'Institut de la Colonne Vertébrale, Bordeaux University Hospital, Place Amélie Raba-Léon, Bordeaux, France.
Ahmet AlanayAcibadem University School of Medicine, Istanbul, Turkey.
Emre AcarogluSpine Surgery Unit, Ankara Acibadem ARTES Spine Center, Ankara, Turkey.
Frank KleinstueckSpine Center, Schulthess Klinik, Zurich, Switzerland.
Ferran PelliséSpine Surgery Unit, Hospital Universitario Val Hebron, Barcelona, Spain.
Francisco Javier Sanchez Perez-GruesoSpine Surgery Unit, Hospital Universitario La Paz, Madrid, Spain.
Anouar BourghliOrthopedic and Spinal Surgery Department, Kingdom Hospital, Riyadh, Saudi Arabia.
Jean-Marc VitalL'Institut de la Colonne Vertébrale, CHU Pellegrin, Bordeaux, France.
Olivier GilleL'Institut de la Colonne Vertébrale, CHU Pellegrin, Bordeaux, France.
Ibrahim ObeidL'Institut de la Colonne Vertébrale, CHU Pellegrin, Bordeaux, France.
Hôpital Pellegrin · FRAcıbadem University · TRRiyadh Armed Forces Hospital · SASchulthess-Klinik · CHUniversity of Otago · NZHospital Universitario La Paz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The objective of this study was to determine the effect of obesity on the functional outcomes and complication rates of patients with adult spinal deformity (ASD) undergoing multi-level thoracolumbar fusion. Methods: An age and sex matched comparison of functional outcomes [Numeric Rating Scale (NRS) back and leg scores, Core Outcome Measurement Index (COMI) back scores, Scoliosis Research Society 22 (SRS22) satisfaction and total scores, Short Form 36 (SF36) general health scores, Physical Component Score (PCS), Mental Component Score (MCS), Oswestry Disability Index (ODI) (including all domains)] at 6 months, 1, 2, 3 and 4 years and the complication rates at final follow-up between obese [body mass index (BMI) >30] and normal BMI (18.5-24.9) patients undergoing more than 3 levels of thoracolumbar fusion with a minimum 2-year follow-up. Patients who had undergone any previous spinal surgery were excluded. Results: Thirty patients were included in each arm of the study. Baseline demographics, including the number of levels fused, were similar between the groups. Estimated blood loss (EBL) was higher in obese patients (1,916 Conclusions: In patients with ASD undergoing multi-level thoracolumbar fusion, obesity results in a higher blood loss, poorer sagittal correction, poorer post-operative functional scores and higher complication rates than patients with a normal BMI. However, obesity does not affect operative times, length of hospital stay or reoperation rates. Furthermore, patients with obesity have similar post-operative satisfaction scores to patients with normal BMIs.

Indexed as

body mass index (BMI)deformityfusionObesityspine

Identifiers

PMID38529155
PMCPMC10929431
OpenAlexW4289535794

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.