THE IMPACT OF MINIMALLY INVASIVE SPINE SURGERY ON PERIOPERATIVE COMPLICATIONS IN OVERWEIGHT OR OBESE PATIENTS
- 1 March 2008
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Neurosurgery
- Vol. 62 (3), 693-699
- https://doi.org/10.1227/01.neu.0000317318.33365.f1
Abstract
Open lumbar spinal surgery in overweight or obese patients has been associated with increased risk of perioperative complications. The impact of minimally invasive spinal (MIS) surgery on the incidence of perioperative adverse events in overweight or obese patients, however, has not been well evaluated. A retrospective review of consecutive patients undergoing lumbar MIS surgery from January 2006 to April 2007 was performed. Of the 77 patients identified, 56 had a body mass index (BMI) of 25.0 kg/m2 or greater. Of the 56 patients with a BMI of 25 kg/m2 or greater, 32 (57.1%) were men; the mean age was 54.1 years. The mean BMI was 31.0 kg/m2 (range, 25.1–43.8 kg/m2). Using a broad definition of an adverse event, eight (14.3%) complications were identified. In the discectomy/laminotomy subgroup (31 patients), two (6.5%) adverse events were noted. In the fusion subgroup (25 patients), six (24%) adverse events were noted, most of which were minor. Of the 21 patients with a BMI less than 25 kg/m2, eight (38.1%) were men, and the mean age was 43.7 years. The mean BMI was 22.5 kg/m2 (range, 16.8–24.6 kg/m2). Three (14.3%) complications were noted overall. In the discectomy/laminotomy subgroup (17 patients), two (11.8%) adverse events occurred. One (25%) complication developed in the four patients making up the fusion subgroup. There was no statistically significant difference in complication rates between groups. Logistic regression also found no statistically significant relationship between BMI and perioperative complications. There does not appear to be an increased risk of developing perioperative complications in overweight or obese patients undergoing MIS surgery, which may reflect a potential benefit of the MIS approach.Keywords
This publication has 14 references indexed in Scilit:
- Obesity and spine surgery: relation to perioperative complicationsJournal of Neurosurgery: Spine, 2007
- Prevalence of Overweight and Obesity in the United States, 1999-2004JAMA, 2006
- Minimally invasive transforaminal lumbar interbody fusion: indications, technique, and complicationsNeurosurgical Focus, 2006
- Minimally invasive microendoscopy-assisted transforaminal lumbar interbody fusion with instrumentationJournal of Neurosurgery: Spine, 2005
- Minimally Invasive Transforaminal Lumbar Interbody Fusion (TLIF)Journal of Spinal Disorders & Techniques, 2005
- Transforaminal lumbar interbody fusion: a safe technique with satisfactory three to five year resultsEuropean Spine Journal, 2005
- Incidental durotomy in lumbar spine surgery: incidence and managementEuropean Spine Journal, 2004
- Does Obesity Affect the Results of Lumbar Decompressive Spinal Surgery in the Elderly?Clinical Orthopaedics and Related Research, 2004
- Microendoscopic Decompressive Laminotomy for the Treatment of Lumbar StenosisNeurosurgery, 2002
- The Caspar Microsurgical Discectomy and Comparison with a Conventional Standard Lumbar Disc ProcedureNeurosurgery, 1991