Influence of obesity on the results of minimally invasive spine surgery to minimize surgical risks in patients with degenerative Lumbar disc disease
Journal Title: Surgery & Case Studies: Open Access Journal - Year 2018, Vol 1, Issue 4
Abstract
It is known that overweight / obesity is a factor of risk demonstrated for a multitude of diseases metabolic, cardiovascular, visceral and osteoarticular. In addition, there is growing literature evidence that relates obesity with an acceleration of the process of lumbar disc degeneration and this with the presence of chronic low back pain. Currently, obesity is defined based on the BMI, which can be calculated by means of a simple formula that relates the weight of the individual in kilograms with its height in meters raised to square (BMI = Kg /m2) [1-3]. Also, the interventions that are carried out in overweight/ obese patients present difficulties specific to the surgical technique itself, in general, because of the need for broader approaches, for the greater surgical time employed and a greater blood loss or worse healing of the wounds. Although obesity is not considered, in principle, an absolute contraindication for lumbar spine surgery, its presence does imply to assume a higher rate of perioperative complications compared to the general population [4]. The osteoarthrosis in the obese at the level of the joints that support the weight of the body, is frequent, by altering its biomechanics and having to support great tensions above the normal resistance of the tissues the appearance of the minimally invasive surgery of the spine allows the surgery with less damage to soft tissues (muscles and ligaments) compared to open surgery, the potential benefits of MI surgery they are: better cosmetic results thanks to smaller incisions that heal better less blood loss during surgery. less muscle injury, with which recovery is faster (2-3 days of hospital stay) and the need for much less rehabilitation, less risk of infection, as there is much less tissue exposed during the intervention, less postoperative pain derived from the minimal tissue injury.
Authors and Affiliations
Inaki Arrotegui
Keywords
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- EP ID EP638410
- DOI 10.32474/SCSOAJ.2019.01.000120
- Views 64
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