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Does Obesity Affect Perioperative and Postoperative Morbidity and Complication Rates After Minimal Access Spinal Technologies in Surgery for Lumbar Degenerative Disc Disease.

Abstract：

OBJECTIVE:The impact of obesity on spine surgery has been studied extensively, but only a few investigations have been focused on minimally invasive spinal fusion techniques and complication rates in normal-weight, preobese, or obese patients. Obesity was found to be a risk factor for intraoperative complications. Published data tend to favor minimal access surgery techniques (MAST) for obese patients. In a prospective study, we assessed the perioperative and postoperative complications of MAST in a large population of 187 patients. METHODS:We evaluated perioperative and postoperative complication rates in minimally invasive surgery (MIS) fusion techniques of the lumbar spine in obese, preobese, and normal-weight patients, classified by body mass index (BMI). Lumbar MIS fusion was performed by interbody fusion procedures and posterolateral fusion. In cases of spinal stenosis, a laminotomy was performed (146 patients). Any harmful event occurring during or after surgery was included in the statistical analysis. RESULTS:No infection or severe wound healing disorder was encountered in the series. No significant difference in terms of cerebrospinal fluid leakage, blood loss, drainage, or length of hospital stay between the 3 BMI groups was encountered. More clinically insignificant hematomas were encountered in the preobese and obese groups (P = 0.013) than in the normal-weight patients. No significant difference was registered between the BMI or age groups regarding overall complication rates. CONCLUSION:We conclude that preobese and obese patients are good candidates for MAST because BMI did not affect complication rates or duration of surgery.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Senker W,Stefanits H,Gmeiner M,Trutschnig W,Weinfurter I,Gruber A

doi

10.1016/j.wneu.2017.12.075

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

e374-e385

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(17)32191-5

journal_volume

111

pub_type

杂志文章

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Does Obesity Affect Perioperative and Postoperative Morbidity and Complication Rates After Minimal Access Spinal Technologies in Surgery for Lumbar Degenerative Disc Disease.