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Comparison of perioperative outcomes in obese and non-obese patients subjected to open lumbar spine surgery – Lumbar Fusion

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The article explores the relationship between obesity and perioperative outcomes during elective lumbar spine surgery. The study included 53 patients with lumbar spine degeneration, 18 of whom were Grade I-II obese. The results showed that Grade I-II obesity did not increase surgical complexity or perioperative complications during open lumbar spine surgery. There were no significant differences in estimated blood loss, operative time, and length of stay between obese and non-obese participants. The study concludes that obesity does not have a significant impact on perioperative outcomes in patients undergoing elective lumbar spine surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

: Grade I-II obesity does not increase surgical complexity nor perioperative complications during open lumbar spine surgery.

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Cir Cir. 2024;92(1):59-68. doi: 10.24875/CIRU.23000246.ABSTRACTOBJECTIVE: Obesity is a global epidemic affecting developing countries. The relationship between obesity and perioperative outcomes during elective lumbar spine surgery remains controversial, especially in those without morbid disease.MATERIALS AND METHODS: We retrospectively revised the medical records of patients with lumbar spine degeneration subjected to elective surgery. The data retrieved included,

Cir Cir. 2024;92(1):59-68. doi: 10.24875/CIRU.23000246.

ABSTRACT

OBJECTIVE: Obesity is a global epidemic affecting developing countries. The relationship between obesity and perioperative outcomes during elective lumbar spine surgery remains controversial, especially in those without morbid disease.

MATERIALS AND METHODS: We retrospectively revised the medical records of patients with lumbar spine degeneration subjected to elective surgery. The data retrieved included demographic and clinical characteristics, body mass index (BMI), obesity status (BMI ≥ 30), surgical interventions, estimated blood loss (EBL), operative time, length of stay (LOS), and post-operative complications. Perioperative outcomes were compared between Grade I-II obese and non-obese individuals.

RESULTS: We enrolled 53 patients, 18 with Grade I-II obesity. Their median age was 51, with no differences in gender, comorbidities, laboratory parameters, and surgical procedures received between groups. No clinically relevant differences were found between grade I-II obese and non-obese participants in EBL (300 mL vs. 250 mL, p = 0.069), operative time (3.2 h vs. 3.0 h, p = 0.037), and LOS (6 days vs. 5 days, p = 0.3). Furthermore, BMI was not associated with the incidence of significant bleeding and long stay but showed a modest correlation with operative time.

: Grade I-II obesity does not increase surgical complexity nor perioperative complications during open lumbar spine surgery.

PMID:38537236 | DOI:10.24875/CIRU.23000246

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Comparison of perioperative outcomes in obese and non-obese patients subjected to open lumbar spine surgery

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Cir Cir. 2024;92(1):59-68. doi: 10.24875/CIRU.23000246.ABSTRACTOBJECTIVE: Obesity is a global epidemic affecting developing countries. The relationship between obesity and perioperative outcomes during elective lumbar spine surgery remains controversial, especially in those without morbid disease.MATERIALS AND METHODS: We retrospectively revised the medical records of patients with lumbar spine degeneration subjected to elective surgery. The data retrieved included

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