The Negligible Influence of Chronic Obesity on Hospitalization, Clinical Status, and Complications in Elective Posterior Lumbar Interbody Fusion
Joint Authors
Suess, Olaf
Kombos, Theodoros
Bode, Frank
Source
International Journal of Chronic Diseases
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-10
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Posterior lumbar interbody fusion (PLIF) is a common surgical treatment for degenerative spinal instability, but many surgeons consider obesity a contraindication for elective spinal fusion.
The aim of this study was to analyze whether obesity has any influence on hospitalization parameters, change in clinical status, or complications.
Methods.
In this prospective study, regression analysis was used to analyze the influence of the body mass index (BMI) on operating time, postoperative care, hospitalization time, type of postdischarge care, change in paresis or sensory deficits, pain level, wound complications, cerebrospinal fluid leakage, and implant complications.
Results.
Operating time increased only 2.5 minutes for each increase of BMI by 1.
The probability of having a wound complication increased statistically with rising BMI.
Nonetheless, BMI accounted for very little of the variation in the data, meaning that other factors or random chances play a much larger role.
Conclusions.
Obesity has to be considered a risk factor for wound complications in patients undergoing elective PLIF for degenerative instability.
However, BMI showed no significant influence on other kinds of peri- or postoperative complications, nor clinical outcomes.
So obesity cannot be considered a contraindication for elective PLIF.
American Psychological Association (APA)
Suess, Olaf& Kombos, Theodoros& Bode, Frank. 2016. The Negligible Influence of Chronic Obesity on Hospitalization, Clinical Status, and Complications in Elective Posterior Lumbar Interbody Fusion. International Journal of Chronic Diseases،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1105515
Modern Language Association (MLA)
Suess, Olaf…[et al.]. The Negligible Influence of Chronic Obesity on Hospitalization, Clinical Status, and Complications in Elective Posterior Lumbar Interbody Fusion. International Journal of Chronic Diseases No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1105515
American Medical Association (AMA)
Suess, Olaf& Kombos, Theodoros& Bode, Frank. The Negligible Influence of Chronic Obesity on Hospitalization, Clinical Status, and Complications in Elective Posterior Lumbar Interbody Fusion. International Journal of Chronic Diseases. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1105515
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1105515