Prior bariatric surgery lowers complication rates following spine surgery in obese patients.

Abstract:

BACKGROUND:Bariatric surgery (BS) is an increasingly common treatment for morbid obesity that has the potential to effect bone and mineral metabolism. The effect of prior BS on spine surgery outcomes has not been well established. The aim of this study was to assess differences in complication rates following spinal surgery for patients with and without a history of BS. METHODS:Retrospective analysis of the prospectively collected New York State Inpatient Database (NYSID) years 2004-2013. BS patients and morbidly obese patients (non-BS) were divided into cervical and thoracolumbar surgical groups and propensity score matched for age, gender, and invasiveness and complications compared. RESULTS:One thousand nine hundred thirty-nine spine surgery patients with a history of BS were compared to 1625 non-BS spine surgery patients. The average time from bariatric surgery to spine surgery is 2.95 years. After propensity score matching, 740 BS patients were compared to 740 non-BS patients undergoing thoracolumbar surgery, with similar comorbidity rates. The overall complication rate for BS thoracolumbar patients was lower than non-BS (45.8% vs 58.1%, P < 0.001), with lower rates of device-related (6.1% vs 23.2%, P < 0.001), DVT (1.2% vs 2.7%, P = 0.039), and hematomas (1.5% vs 4.5%, P < 0.001). Neurologic complications were similar between BS patients and non-BS patients (2.3% vs 2.7%, P = 0.62). For patients undergoing cervical spine surgery, BS patients experienced lower rates of bowel issues, device-related, and overall complication than non-BS patients (P < 0.05). CONCLUSIONS:Bariatric surgery patients undergoing spine surgery experience lower overall complication rates than morbidly obese patients. This study warrants further investigation into these populations to mitigate risks associated with spine surgery for bariatric patients.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Passias PG,Horn SR,Vasquez-Montes D,Shepard N,Segreto FA,Bortz CA,Poorman GW,Jalai CM,Wang C,Stekas N,Frangella NJ,Deflorimonte C,Diebo BG,Raad M,Vira S,Horowitz JA,Sciubba DM,Hassanzadeh H,Lafage R,Afthinos J,Laf

doi

10.1007/s00701-018-3722-6

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

2459-2465

issue

12

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-018-3722-6

journal_volume

160

pub_type

杂志文章
  • DNA and prognosis of meningiomas: a comparative cytological and fluorescence-cytophotometrical study of 71 tumours.

    abstract::DNA analysis in meningiomas was performed using flow-fluorescence cytometry in 71 tumours. Three subcategories of rather small, medium-sized or clearly abnormal growth activities were evident in each of the fibroblastic, transitional and syncytial tumour types. These categories reflected grades 1, 2 or 3 of malignancy...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01476062

    authors: Ahyai A,Spaar FW

    更新日期:1987-01-01 00:00:00

  • Intra-sellar schwannoma co-existing with GH-secreting pituitary adenoma.

    abstract:BACKGROUND:We present a unique example of an intra-sellar schwannoma co-existing with a growth hormone (GH)-secreting pituitary adenoma. METHOD AND FINDINGS:The patient presented with acromegaly and magnetic resonance imaging (MRI) revealed an intra-sellar mass. The tumour was totally resected via a sub-labial trans-s...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0304-7

    authors: Koutourousiou M,Seretis A,Kontogeorgos G

    更新日期:2009-12-01 00:00:00

  • Multiple intradural extramedullary tumours presenting with paraplegia after trauma.

    abstract::Intraspinal nerve-sheath tumours are generally slow growing and are diagnosed after causing symptoms such as back pain and progressive neurological symptoms. We present a rare example of multiple schwannomas located in the thoracolumbar spine in a previously asymptomatic patient who developed severe neurological defic...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0239-z

    authors: Sharifi G,Mortaz M,Parsaei B

    更新日期:2009-06-01 00:00:00

  • Repair of damaged cortical artery by direct micro-suture in surgical treatment of acute subdural hematoma: technical note.

    abstract:BACKGROUND:In surgical treatment of acute subdural hematoma (ASDH), neurosurgeons frequently encounter bleeding from cortical arteries, which is usually controlled with bipolar coagulation. However, bipolar coagulation is associated with a risk of sacrificing the cortical artery, which may affect the prognosis of neuro...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-018-3634-5

    authors: Uneda A,Hirashita K,Yabuno S,Kanda T,Suzuki K,Matsumoto A,Yunoki M,Yoshino K

    更新日期:2018-10-01 00:00:00

  • Surgical techniques for the dissection of encased perforators in giant clinoidal meningiomas.

    abstract:BACKGROUND:Surgical treatment of giant clinoidal meningiomas remains a challenging task for neurosurgeons. Here, we present details of the surgical techniques for the dissection of encased perforators. METHODS:The dissection of encased perforators is summarized as follows: (1) split the tumor above the encased arterie...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-013-1750-9

    authors: Yoshimoto K,Nakamizo A,Sasaki T

    更新日期:2013-08-01 00:00:00

  • Rathke's cleft cysts: differentiation from other cystic lesions in the pituitary fossa by use of single-shot fast spin-echo diffusion-weighted MR imaging.

    abstract:OBJECTIVE:Rathke's cleft cysts are often difficult to differentiate from other sellar cystic lesions using conventional MR imaging. The purpose of this study was to investigate the usefulness of single-shot fast spin-echo (SSFSE) diffusion-weighted MR imaging (DWI) in the diagnosis of a Rathke's cleft cyst. PATIENTS A...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-007-1234-x

    authors: Kunii N,Abe T,Kawamo M,Tanioka D,Izumiyama H,Moritani T

    更新日期:2007-08-01 00:00:00

  • Correlations between the trigeminal nerve microstructural changes and the trigeminal-pontine angle features.

    abstract:BACKGROUND:Morphological and microstructural changes of the trigeminal nerve due to neurovascular compression (NVC) have been reported in primary trigeminal neuralgia (PTN) patients. This investigation was to examine the relationship between the trigeminal-pontine angle and nerve microstructural changes. METHODS:Twent...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-019-04099-6

    authors: Pang H,Sun H,Fan G

    更新日期:2019-12-01 00:00:00

  • Retrospective analysis of 620 cases of brain abscess in Chinese patients in a single center over a 62-year period.

    abstract:BACKGROUND:Despite advances in laboratory diagnostics, antibiotic regimens, and neurosurgical techniques, brain abscess (BA) remains a potentially fatal infectious disease. This study analyzed clinical and epidemiological aspects of BA in Chinese patients treated at a single center during a 62-year period. METHOD:We r...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-016-2741-4

    authors: Zhang Z,Cai X,Li J,Kang X,Wang H,Zhang L,Yan R,Gao N,Liu S,Yue S,Zhang J,Yang S,Yang X

    更新日期:2016-04-01 00:00:00

  • Hypertrophic olivary degeneration after surgical removal of cavernous malformations of the brain stem: report of four cases and review of the literature.

    abstract:BACKGROUND:Hypertrophic olivary degeneration (HOD) is a pathological phenomenon that occurs after injury to the dentato-olivary pathway. Its hallmarks include hypertrophy of the olive with increased T2 signal intensity on magnetic resonance imaging, and it often manifests with palatal tremor and oscillopsia clinically....

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-007-1470-0

    authors: Hornyak M,Osborn AG,Couldwell WT

    更新日期:2008-02-01 00:00:00

  • Preconditioning with pitavastatin, an HMG-CoA reductase inhibitor, attenuates C-Jun N-terminal kinase activation in experimental subarachnoid hemorrhage-induced apoptosis.

    abstract:BACKGROUND:Accumulating results have disclosed that early brain injury (EBI) may play a major role in the determination of the outcome of aneurysmal subarachnoid hemorrhage (SAH) patients. This study is of interest to examine the efficacy of pitavastatin, a 3-hydroxy-3-methyl-glutaryl-CoA reductase (HMG-CoA reductase) ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-015-2399-3

    authors: Chang CZ,Wu SC,Kwan AL,Lin CL

    更新日期:2015-06-01 00:00:00

  • Atorvastatin preconditioning attenuates the production of endothelin-1 and prevents experimental vasospasm in rats.

    abstract:OBJECTIVE:Induced endothelin-1 (ET-1) production and decreased nitric oxide synthase (NOS) bioavailability have been found in aneurysmal subarachnoid hemorrhage (SAH). Atorvastatin is recognized to have pleiotropic effects including increasing NOS bioavailability as well as reducing inflammation and oxidative damage ot...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-010-0652-3

    authors: Chang CZ,Wu SC,Lin CL,Hwang SL,Howng SL,Kwan AL

    更新日期:2010-08-01 00:00:00

  • Association of F18-fluoro-ethyl-tyrosin uptake and 5-aminolevulinic acid-induced fluorescence in gliomas.

    abstract:PURPOSE:Malignant gliomas are highly infiltrative tumours with a fatal prognosis. F18-fluoroethyl-tyrosine (FET)-positron emission tomography (PET) often reveals a broader extension of these tumours compared with contrast-enhanced magnetic resonance imaging (MRI). Complete resection of the contrast-enhancing lesion is ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0462-7

    authors: Stockhammer F,Misch M,Horn P,Koch A,Fonyuy N,Plotkin M

    更新日期:2009-11-01 00:00:00

  • The impact of MGMT methylation and IDH-1 mutation on long-term outcome for glioblastoma treated with chemoradiotherapy.

    abstract:BACKGROUND:Increasingly, biomarkers have been identified that correlate with improved overall and progression-free survival (OS and PFS) in glioblastoma, including MGMT methylation status and mutations in the IDH1 gene. In this study, we investigated the clinical and biological factors associated with long-term surviva...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-016-2928-8

    authors: Millward CP,Brodbelt AR,Haylock B,Zakaria R,Baborie A,Crooks D,Husband D,Shenoy A,Wong H,Jenkinson MD

    更新日期:2016-10-01 00:00:00

  • Protocol for motor and language mapping by navigated TMS in patients and healthy volunteers; workshop report.

    abstract:INTRODUCTION:Navigated transcranial magnetic stimulation (nTMS) is increasingly used for preoperative mapping of motor function, and clinical evidence for its benefit for brain tumor patients is accumulating. In respect to language mapping with repetitive nTMS, literature reports have yielded variable results, and it i...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-017-3187-z

    authors: Krieg SM,Lioumis P,Mäkelä JP,Wilenius J,Karhu J,Hannula H,Savolainen P,Lucas CW,Seidel K,Laakso A,Islam M,Vaalto S,Lehtinen H,Vitikainen AM,Tarapore PE,Picht T

    更新日期:2017-07-01 00:00:00

  • Lumbar disc herniation associated with separation of the posterior ring apophysis: analysis of five surgical cases and review of the literature.

    abstract:BACKGROUND:Separation of the posterior ring apophysis of an adjacent vertebral body can sometimes accompany lumbar intervertebral disc herniation. The condition can be both difficult to detect in conventional radiographs and is somewhat controversial to treat. Although there is general agreement on the frequent need fo...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00701-003-0044-z

    authors: Asazuma T,Nobuta M,Sato M,Yamagishi M,Fujikawa K

    更新日期:2003-06-01 00:00:00

  • The pharmacological action of pronase-digested egg albumin upon cerebral hypoxia.

    abstract::The purification of a substance which protects mitochondrial activity against its decay in association with various cerebral pathologies, and the effect of this substance in vitro and in vivo have been mentioned. Defatted egg albumin was hydrolyzed with pronase, and diafiltrated through mesh, to obtain fractions of mo...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405239

    authors: Ishii S,Sato K,Watanabe H,Kobayashi M,Shimizu T

    更新日期:1977-01-01 00:00:00

  • Acquired hydrocephalus. II. Diagnostic and prognostic value of quantitative isotope ventriculography (QIV), lumbar isotope cisternography (LIC), pneumoencephalography, and continuous intraventricular pressure recording (CIP).

    abstract::The diagnostic and prognostic values of quantitative isotope ventriculography (QIV), lumbar isotope cisternography (LIC), pneumoencephalography (PEG), and continuous intraventricular pressure recording (CIP) were assessed on the basis of the clinical course in 160 patients suspected of having acquired hydrocephalus. T...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01430586

    authors: Jensen F,Jensen FT

    更新日期:1979-01-01 00:00:00

  • Ventral compression in adult patients with Chiari 1 malformation sans basilar invagination: cause and management.

    abstract:BACKGROUND:A small subset of patients with adult Chiari I malformation without basilar invagination (BI) and instability show ventral cervicomedullary distortion/compression and have symptoms pertaining to that. The cause of this ventral compression remains speculative. Additionally, it is unclear if these patients wou...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-011-1215-y

    authors: Salunke P,Sura S,Futane S,Aggarwal A,Khandelwal NK,Chhabra R,Mukherjee KK,Gupta SK

    更新日期:2012-01-01 00:00:00

  • Embolisation of indirect carotid-cavernous sinus dural arterio-venous fistulae using the direct superior ophthalmic vein approach.

    abstract::Indirect carotid-cavernous sinus dural arterio-venous fistulae (cDAVF) can be treated by transarterial and/or transvenous embolisation. This study evaluated patients with cDAVF who underwent transvenous embolisation using the direct superior ophthalmic vein (SOV) approach. Between January 2004 and October 2006, eight ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-008-1573-2

    authors: Lee JW,Kim DJ,Jung JY,Kim SH,Huh SK,Suh SH,Kim DI

    更新日期:2008-06-01 00:00:00

  • A new simple therapeutic method for chronic subdural hematoma without irrigation and drainage.

    abstract:BACKGROUND:We developed a new simple therapeutic method for the treatment of chronic subdural hematoma (CSDH) without irrigation and drainage. This method is characterized by replacement of the hematoma with oxygen. METHODS:Seventy patients (seventy-eight sides) with CSDH were treated with this method from May 1994 to...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0689-x

    authors: Takeda N,Sasaki K,Oikawa A,Aoki N,Hori T

    更新日期:2006-05-01 00:00:00

  • Unusual evolution of a post-traumatic subdural haematoma. Case report.

    abstract::The authors describe a case of a post-traumatic subdural haematoma with an unusual evolution in two phases, one slow, the other very rapid. The rapidity of the evolution was caused by the rupture of a cortical dural artery, shown angiographically. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01401797

    authors: Ciappetta P,Bruni P

    更新日期:1979-01-01 00:00:00

  • Repeated gamma knife radiosurgery for multiple metastatic brain tumours.

    abstract:BACKGROUND:The effectiveness of repeated gamma knife radiosurgery (GKS) for the treatment of multiple metastatic brain tumours was evaluated. METHODS:This study included 16 patients with 242 tumours, 10 men and 6 women with a mean age of 60.3 years at initial GKS, who underwent GKS four times or more for newly develop...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-004-0306-4

    authors: Shuto T,Fujino H,Inomori S,Nagano H

    更新日期:2004-09-01 00:00:00

  • The medial tentorial artery of Bernasconi-Cassinari: a comprehensive review of its anatomy and neurosurgical importance.

    abstract:PURPOSE:The medial tentorial artery (MTA) of Bernasconi-Cassinari has been associated with many neurosurgical pathologies, including tentorial and petroclival meningiomas, dural arteriovenous fistulae, hemangioblastomas, moyamoya disease, arteriovenous malformations, trigeminal neuromas, and malignant gliomas. This ves...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-011-1195-y

    authors: Tubbs RS,Nguyen HS,Shoja MM,Benninger B,Loukas M,Cohen-Gadol AA

    更新日期:2011-12-01 00:00:00

  • Cranial nerve monitoring during subpial dissection in temporomesial surgery.

    abstract:OBJECTIVE:Cranial nerves (CNs) crossing between the brainstem and skull base at the level of the tentorial hiatus may be at risk in temporomesial surgery involving subpial dissection and/or tumorous growth leading to distorted anatomy. We aimed to identify the surgical steps most likely to result in CN damage in this t...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-011-0987-4

    authors: Ortler M,Fiegele T,Walser G,Trinka E,Eisner W

    更新日期:2011-06-01 00:00:00

  • Genetic aberrations in sporadic and neurofibromatosis 2 (NF2)-associated schwannomas studied by comparative genomic hybridization (CGH).

    abstract:BACKGROUND:Schwannomas occur sporadically or in association with neurofibromatosis 2 (NF2), an autosomal dominant disorder, which predisposes to multiple schwannomas, meningiomas and spinal ependymomas, with bilateral vestibular schwannomas as the classic hallmark. As NF2 and sporadic schwannomas differ in some respect...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s007010070036

    authors: Antinheimo J,Sallinen SL,Sallinen P,Haapasalo H,Helin H,Horelli-Kuitunen N,Wessman M,Sainio M,Jääskeläinen J,Carpén O

    更新日期:2000-01-01 00:00:00

  • Increases of neuron-specific enolase, S-100 protein, creatine kinase and creatine kinase BB isoenzyme in CSF following intraventricular catheter implantation.

    abstract::In 15 patients without acute brain injury the concentrations of Neuron-specific Enolase (NSE), S-100 Protein (S-100), Creatine Kinase (CK), and Creatine Kinase BB isoenzyme (CK-BB) in ventricular cerebrospinal fluid (CSF) were measured immediately after lateral ventricle cannulation for diagnostic or treatment purpose...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01400675

    authors: Kruse A,Cesarini KG,Bach FW,Persson L

    更新日期:1991-01-01 00:00:00

  • Spontaneous resolution of lumbar vertebral eosinophilic granuloma.

    abstract::Eosinophilic granuloma (EG) is a rare disease but is more common in adults than children. It's often self-limiting. Spinal involvement is rare. It is the localized and most benign form of Langerhans' cell histiocytosis (previously known as histiocytosis X), characterised by lytic lesions in one or more bones. Spontane...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-003-0182-3

    authors: Bavbek M,Atalay B,Altinörs N,Caner H

    更新日期:2004-02-01 00:00:00

  • Symmetrical bilateral low-density lesions in the areas of supply by Heubner's arteries after aneurysm surgery.

    abstract::Three patients with symmetrical bilateral low-density areas which were the perfusion territories of Heubner's arteries are reported. The infarctions were demonstrated on computed tomography after aneurysm surgery. Two of them had an anterior communicating artery aneurysm and the other one had multiple aneurysms of bot...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01418830

    authors: Fukamachi A,Horikoshi T,Nagaseki Y,Sasaki H,Nukui H

    更新日期:1987-01-01 00:00:00

  • Microvascular auscultation. A new technique, using a diplo-microphone, for analysis of blood flow at suture lines in small arteries.

    abstract::A new atraumatic method for patency and blood flow control of microvascular anastomoses has been developed. Sounds proximal and distal to a suture line are separately detected by means of two specially modified miniature microphones built together as an auscultation unit and named a diplo-microphone. Transmission of t...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF02074518

    authors: Wintermantel E

    更新日期:1980-01-01 00:00:00

  • Prolapsed lumbar intervertebral disc with partial or total occlusion of the spinal canal. A study of 30 patients with and 28 patients without cauda equina symptoms.

    abstract::The clinical findings and operation results in two series of patients with medial prolapse of an intervertebral disc with total or partial occlusion of the spinal canal are reported. In one of the series (30 patients) symptoms of cauda equina compression, with bladder and rectal disturbances, were present, and in the ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405333

    authors: Spännare BJ

    更新日期:1978-01-01 00:00:00