EFFECTS OF OBESITY ON ELECTIVE SPINAL SURGERY
Journal Title: Journal of Turkish Spinal Surgery - Year 2018, Vol 29, Issue 3
Abstract
Background: Obesity (Body Mass Index > 30 kg/m2) is currently a public health problem with increasing incidence. Obesity increases the challenges and complications of surgery in all surgical branches. In this study, we aimed to evaluate the intraoperative and perioperative complications of obesity encountered in spinal surgery. Materials and Methods: All patients undergoing elective spinal surgery in one orthopedic surgery practice between 2017 and 2018 were included in this study. Patient demographics, body mass index (BMI), preoperative hemoglobin and hematocrit values, volume of blood transfused, incision lengths, number of surgical levels, operational time, and amount of bleeding were retrospectively identified. Patients were divided into two groups according to BMI levels (Group A, < 30kg/m2; Group B > 30 kg/m2), and statistical analyses were performed using the Student’s t and Mann-Whitney U tests. Results: Seventy-seven patients with a mean age of 57.8 years (range, 19–72) were included in this study. Their mean BMI was 29.3 kg/m2 (19.9–39 kg/m2). The mean BMI of Group A was 25.7 kg/m2 and that of Group B was 34.6 kg/m2. The amount of bleeding, number of surgical levels, and skin-incision length were statistically significantly different between the two groups. The mean values of all of these parameters were higher in Group B. Conclusion: Although numerous factors play roles in operational success, we believe that identifying obesity in a patient is important for pre- and postoperative surgical preparation by the operation team.
Authors and Affiliations
H. Bahadır GOKCEN, Bahattin KEMAH, Engin CARKCI, Erhan SUKUR, Cagatay OZTURK
Keywords
Related Articles
- EP ID EP677007
- DOI -
- Views 151
- Downloads 0
SAGITTAL PLANE ANALYSIS OF THE SPINE
With physiological and morphological changes during growth, the harmony between the pelvis and the spine continues. When this harmony is lost with sagittal plane deformities of the spine, we need to know the sagittal spi...
ALICI SPINAL INSTRUMENTATION IN THE SURGICAL TREATMENT OF THORACOLUMBAR FRACTURES OF THE SPINE
43 patients with thoracolumbar fractures ofthe spine were treated betvveen 1989 and 1991. The number of frac-tured vertebrae were 52. The levels of fractures were between T6 and L3. There were 4 burst fractures, 43 com-p...
RESULTS OF PONTE’S OSTEOTOMY IN THE TREATMENT OF RIGID ADOLESCENT IDIOPATHIC SCOLIOSIS
Purpose: To evaluate the effectivity of Ponte’s osteotomy in the patients of adolescent idiopathic scoliosis (AIS) with rigid curvature. Method: From 74 patients having severe structural scoliosis, the patients wh...
DUMB - BELL GANGLIONEUROMA PRESENTING WITH THORACOLUMBAR SCOLIOSIS (A CASE REPORT)
A case of an 11 year old girl who has three years history of deformity on her back with no neurological symptoms is presented. Initially diagnosing the disease as juvenile idiopalhic scoliosis, a two staged procedure con...
REDUCTION AND STABILIZATION OF THORACOLUMBAR FRACTURES WITH ALICI SYSTEM
Numerous studies have been conducted on biomechanics, kinesiology, radiology and the principles of healing spinal fractures in the last fiftyyears (6). Along with the development of computerized axial tomography (CAT), t...