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Obese People Benefit From Lumbar Spinal Stenosis Surgery As Much As People Of Normal Weight London Spine

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Published article

Surgical intervention for debilitating or longstanding symptoms of LSS should be considered as a treatment option for suitable patients in spite of an elevated BMI.Lumbar Disc Replacement Expert. Best Spinal Surgeon UK

Abstract

Background: Lumbar spinal stenosis (LSS) is a common degenerative condition of the spine that causes back pain radiating to the lower extremity. Surgical treatment is indicated to treat progressive radical symptoms. Obesity has been associated with inferior results in the domains of quality of life (QoL) following an LSS operation, but the research findings have been limited. This paper aims to identify whether obesity affects QoL due to back pain among patients who underwent an operation for LSS.

Methods: This study is based on a series of patients operated on for LSS between 2012 and 2018. Operated patients who returned for follow-up forms within the first or second years were included. A total of 359 patients were selected, 163 males (45%) and 196 females (55%). The mean age was 68.9 years. The EuroQol five-dimension scale (EQ-5D) questionnaire was chosen to measure QoL and the Oswestry Disability Index (ODI) for functional disability.

Results: QoL, as measured by EQ-5D, was preoperatively lower in those patients with a BMI ≥ 30. One year after the operation, all groups had a similar trend of improved QoL. At the second year, the results in all groups levelled off even though there was no statistical difference in clinical outcomes (p = 0.92). The ODI was preoperatively statistically higher in patients with a BMI ≥ 30 (p < 0.001). Two years after the surgery, all groups had improved ODI scores, but there was no statistical difference in ODI between the BMI groups (p = 0.54).

Surgical intervention for debilitating or longstanding symptoms of LSS should be considered as a treatment option for suitable patients in spite of an elevated BMI.

Keywords: Obesity; Operative treatment; Quality of life; Spinal stenosis.

The London Spine Unit : best recognised spinal facility in UKRead more here:Obese people benefit from lumbar spinal stenosis surgery as much as people of normal weight

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Danny H
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2021-10-01
L5/S1 Discectomy_ Mo Akmal and his team I am thrilled with my L5/S1 discectomy operation that was performed by Mo Akmal and his team. Immediately after the operation I felt like a different person, no pain whatsoever on my back or right leg as if a mountain was shifted over from my back. To go home the same day and be able to sleep all night on my back without pain was almost a miracle to me after enduring more than two months of continues pain. I am writing this review 3 weeks after my operation and I feel great and I am actually going back to work next week. I am very grateful to Dr Mo Akmal and his team. I absolutely recommend him to anyone with back problem. He preformed my surgery with just 1.5cm cut and he managed it without cutting any piece of bone on my back which means my bone structure stayed intact. He also explained the surgery before the operation in a very clear and friendly way which helped me to understand it well and erased all my fears and concerns about deciding whether to do an operation or not. I also want to commend his team including Dr Lok, Mr Kaleel Ahmad and all the nurses whom all were super friendly during my half day stay at Harley Street Hospital. Thanks again.
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customer
2021-09-22
I was really please with the Mr Akmal and his team. They fully explained to me all of my possible options regarding my persistant disc pertrusion (18 months). I opted for a discectomy, which was successful and am currently pain free. On the day of my operation the whole team had an excellent bedside manner and I was made to feel very comfortable in the hospital.
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ashwak choudhury
2021-09-19
Awesome service, very attentive, readily available and conveniently able to fit around personal commitments. Highly recommended for specialist spine care. Extremely clean and a very hygenic environment to be in. I've had two sets of spinal injections and a laser disc ablation. I have been under the care of Mo Akmal and he has been nothing short of amazing! Thank you for the amazing and friendly service.
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2021-09-09
Laser Cervical spine surgery I received outstanding care from Mr Akmal and his team and would highly recommend them. After trying many non invasive treatments for relentless and debilitating neck and arm pain I was referred to The London Spine Unit. I received a swift diagnosis on my first visit of a C7 herniation and given a reassuring trajectory of possible procedures to relieve my symptoms. Since I had not responded to injections I opted for Laser Cervical Spine Surgery to remove the offending disc, which was performed as a day case. Following the procedure I walked out of the hospital with vastly improved symptoms, within a week I was pain free and 2 and a half months on I continue to feel great. I could not have been in more skilled hands, this is medicine at its best.
Janette Gulleford
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2021-09-01
The London Spinal clinic was found on the internet. The London Spinal clinic was found on the net by my daughter in Australia who was not happy with the invasive surgery proposed by my local consultant. She wanted a state of the art treatment which was minimal invasive one day procedure. She found me Mr Mo Aktar, who was well recommended, charming and so helpful. He examined my MRI scan and proposed treatment. He explained that the procedure offered to me he would not recommend because it may weaken the vertebrae. He sent me a 32 page guide with detailed explanation of the recommended procedure which seemed to be cutting edge, From my acceptance I was treated as someone very special with a quick date, For the procedure with sedation local. I went home the same afternoon and was monitored with telephone calls from Dr Lon every day for 3 days, I had a review after 2 weeks and discharge after Six weeks. From two hours after the procedure I have been upright, without pain after two weeks. I cannot recommend the clinic more highly. Janette Gulleford
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2021-07-30
AT LAST OUT OF PAIN Following a nasty fall about eighteen months ago, I sustained the start of a very painful back, It started with pins and needles running up and down my right leg getting progressively worse. The pain became unbearable and after various visits to different professionals I decided to book a consultation with Mr Akmal after reading his testimonials which were all positive online. Mr Akmal was very helpful and put me at my ease immediately. I was very sceptical but felt very confident after talking to him for thirty or so minutes. He suggested three alternatives. Physiotherapy, steroid injections or surgery. Having been in severe pain for so long I decided to opt for surgery. I was admitted at 7.30am and discharged at 6.30pm the same day. I found the nursing staff very kind and professional and made me feel reassured because I was very apprehensive. I cannot fault my treatment. I am so pleased with my treatment there and I can say, without any hesitation that I am now out of pain. I would thoroughly recommend this hospital and also Mr M. Akmal.
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2021-07-28
Balloon Kyphoplasty - Highly recommend. I had a Balloon Kyphoplasty procedure carried out by By Dr M Akmal on the 14th June 2021. Dr Akmal was informative regarding the procedure, risks and everything involved. He is a diligent and caring surgeon. The recovery was quick and any after pain was managed by paracetamol and ibuprofen alone. All staff were professional, open and friendly. Sasha - Dr Akmal's secretary, was brilliant in assisting me prior to the procedure. Dr Yuin Lok assisted me post procedure with aftercare advice and follow up telephone consultations. The procedure was a success and overall I am delighted with the outcome and would recommend the London spine unit and all the staff involved in my procedure to anyone. I previously suffered with a dowager's hump (kyphosis) and have noticed a visible difference in my height and I appear to have regained 2 inch's in my height which has also helped with my breathing, digestion and posture. Many thanks to all those involved. Kind Regards, Mr Delaney
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2021-06-23
L4/5 Lumbar decompression and dynamic stabilisation. After 4 years of pain and inability to walk far without sitting down to take pressure off my back and leg, Mr Mo Akmal carried out L4/5 decompression and dynamic stabilisation. The relief from the pain was immediate and I was able to walk up straight at last, pain free. The whole process was really easy and straightforward and I was able to leave the hospital the same day. The difference it has made to my life is amazing. Mr Akmal and his team were professional, friendly and kind at every stage. I have no hesitation in recommending their services.

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Abstract Background: Lumbar spinal stenosis (LSS) is a common degenerative condition of the spine that causes back pain radiating to the lower extremity. Surgical treatment is indicated to treat progressive radical symptoms. Obesity has been associated with inferior results in the domains of quality of life (QoL) following an LSS operation, but the research findings…

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