Obesity and Spine Surgery

Obesity and Spine Surgery

Obesity and Spine Surgery

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Obesity and Spine Surgery is a sensitive issue.  The March 1 issue of Spine does tackle this issue by comparing the results of surgery for obese patients to normal weight patients. Not surprisingly,  the results do show a difference, with patients in the obese catagory having inferior rates of success compared to the normal weight patients.

The good new, however, is that Obesity and Spine Surgery can still yield improvements to the patients.  But,  a higher BMI (body mass index= Weight in kilograms/ height in meters squared) was associated with greater odds of dissatisfaction after surgery,  and according to the study,  inferior results at the 2 year followup.

Overall satisfaction of surgery at 2 years, was 67% for normal weight patients  (BMI<25).  64% in over weight patients (BMI 25-30), and 57% of patients who are considered obese (BMI>30). Statistically,  there was a definite difference in the outcome comparing the normal weight to the obese patients.

Surgical intervention was for patients with Lumbar Spinal Stenosis.  Data was from the Swedish Spine Registry, with more than 80% of the total surgical procedures for degenerative lumbar disorders included.  The population includes 2633 patients.  The study was not clear about the exact nature of the surgery,  but surgical interventions most likely are laminectomies, with some fusions.

The whole concept of Obesity and Spine Surgery is controversial.  While we think it is common sense that Obesity would be associated with increasing low back pain,  the data has been conflicting.  Not every study has demonstrated this correlation.

The authors of the study does discuss some of the short comings of the study.  But, concludes obesity is a factor when trying to stratify a patient population that might benefit from Lumbar Spinal Surgery.    The study actually does not demonstrate a great overall success rate for any of the lumbar surgeries, as even in the normal weight group,  satisfaction was only 67%.

Still, the study did confirm a common consensus  opinion,  which is Obesity and Spine Surgery,  while at times necessary,  can result in inferior success rates for patient satisfaction.

 

Citations

  • Hart RA. The Spine Patient Outcomes Research Trial (SPORT): a continuing return on investment: commentary on an article by Jeffrey A. Rihn, MD, et al.: "The influence of obesity on the outcome of treatment of lumbar disc herniation. analysis of the Spine Patient Outcomes Research Trial (SPORT)". J Bone Joint Surg Am. 2013 Jan 2;95(1):e5. PubMed PMID: 23192422

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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