期刊
GLOBAL SPINE JOURNAL
卷 12, 期 6, 页码 1214-1230出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/21925682211022313
关键词
obesity; spine; spine surgery; weight loss; minimally-invasive techniques; bariatric surgery; bariatrics
资金
- Ministero dell'Istruzione, dell'Universit`a e della Ricerca-MIUR project Dipartimenti di eccellenza [2018-2022]
This review analyzed the impact of obesity on outcomes after spine surgery, finding that although obese patients may experience more peri-operative complications, the use of MIS techniques can reduce surgical risks and improve surgical satisfaction.
Study Design: Literature review. Objectives: An increasing number of obese patients requires operative care for degenerative spinal disorders. The aim of this review is to analyze the available evidence regarding the role of obesity on outcomes after spine surgery. Peri-operative complications and clinical results are evaluated for both cervical and lumbar surgery. Furthermore, the contribution of MIS techniques for lumbar surgery to play a role in reducing risks has been analyzed. Methods: Only articles published in English in the last 10 years were reviewed. Inclusion criteria of the references were based on the scope of this review, according to PRISMA guidelines. Moreover, only paper analyzing obesity-related complications in spine surgery have been selected and thoroughly reviewed. Each article was classified according to its rating of evidence using the Sacket Grading System. Results: A total number of 1636 articles were found, but only 130 of them were considered to be relevant after thorough evaluation and according to PRISMA checklist. The majority of the included papers were classified according to the Sacket Grading System as Level 2 (Retrospective Studies). Conclusion: Evidence suggest that obese patients could benefit from spine surgery and outcomes be satisfactory. A higher rate of peri-operative complications is reported among obese patients, especially in posterior approaches. The use of MIS techniques plays a key role in order to reduce surgical risks. Further studies should evaluate the role of multidisciplinary counseling between spine surgeons, nutritionists and bariatric surgeons, in order to plan proper weight loss before elective spine surgery.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据