Impact of Obesity on Complication Rates, Clinical Outcomes, and Quality of Life after Minimally Invasive Transforaminal Lumbar Interbody Fusion
| العنوان: | Impact of Obesity on Complication Rates, Clinical Outcomes, and Quality of Life after Minimally Invasive Transforaminal Lumbar Interbody Fusion |
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| المؤلفون: | Dierk-Marko Czybulka, Boris Krischek, Roland Goldbrunner, Marco Timmer, Lukas Goertz, Christina Hamisch, Pantelis Stavrinou, Moritz Perrech, Kaveh Mehdiani |
| المصدر: | Journal of Neurological Surgery Part A: Central European Neurosurgery. 82:147-153 |
| بيانات النشر: | Georg Thieme Verlag KG, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Postoperative Complications, Quality of life, Lumbar interbody fusion, Back pain, Humans, Minimally Invasive Surgical Procedures, Medicine, Obesity, Postoperative Period, Contraindication, Aged, Retrospective Studies, Lumbar Vertebrae, business.industry, Incidence, Recovery of Function, Perioperative, Middle Aged, medicine.disease, Surgery, Spinal Fusion, Treatment Outcome, Back Pain, Quality of Life, Female, Neurology (clinical), medicine.symptom, business, Complication, Body mass index |
| الوصف: | Background Percutaneous pedicle screw fixation in obese patients remains a surgical challenge. We aimed to compare patient-reported outcomes and complication rates between obese and nonobese patients who were treated by minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). Methods The authors retrospectively reviewed patients who underwent MIS-TLIF at a single institution between 2011 and 2014. Patients were classified as obese (body mass index [BMI] ≥30 kg/m2) or nonobese (BMI Results The final study group consisted of 71 patients, 24 obese (33.8%, 34.8 ± 3.8 kg/m2) and 47 nonobese (66.2%, 25.4 ± 2.9 kg/m2). Instrumentation failures (13.6 vs. 17.0%), dural tears (17.2 vs. 4.0%), and revision rates (16.7 vs. 19.1%) were similar between both groups (p > 0.05). Perioperative improvements in back pain (4.3 vs. 5.4, p = 0.07), leg pain (3.8 vs. 4.2, p = 0.6), and ODI (13.3 vs. 22.5, p = 0.5) were comparable among the groups and persisted at long-term follow-up. Obese patients had worse postoperative physical component SF-36 scores than nonobese patients (36.4 vs. 42.7, p = 0.03), while the mental component scores were not statistically different (p = 0.09). Conclusion Obese patients can achieve similar improvement of the pain intensity and functional status even at long-term follow-up. In patients with appropriate surgical indications, obesity should not be considered a contraindication for MIS-TLIF surgery. |
| تدمد: | 2193-6323 2193-6315 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::16b5d45f7af8215e4a7d58aa89f6b08d https://doi.org/10.1055/s-0040-1718758 |
| رقم الأكسشن: | edsair.doi.dedup.....16b5d45f7af8215e4a7d58aa89f6b08d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21936323 21936315 |
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