Complications and outcomes of open posterior lumbar spinal fusion surgery in obese patients: a meta-analysis

The aim of this study was to determine whether obesity affects the operation, complications and outcomes after open posterior lumbar spinal fusion surgery for the treatment of low back pain and leg pain. A meta-analysis of studies that compared the outcome of posterior lumbar spinal fusion in obese...

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Bibliographic Details
Published in:British journal of neurosurgery 2022-07, Vol.36 (4), p.427-435
Main Authors: Xu, Yu-Zhu, Wang, Yun-Tao, Fan, Pan, Yin, Xiang-Jie, Liu, Hang, Jiang, Feng
Format: Article
Language:English
Subjects:
Back surgery
Body mass index
complications
Length of stay
Meta-analysis
Obesity
open posterior lumbar spinal fusion
outcomes
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Summary:The aim of this study was to determine whether obesity affects the operation, complications and outcomes after open posterior lumbar spinal fusion surgery for the treatment of low back pain and leg pain. A meta-analysis of studies that compared the outcome of posterior lumbar spinal fusion in obese and non-obese patients. A total of 16 studies were included. There was no difference in pain and functional outcomes. Posterior lumbar spinal fusion in obese patients resulted in a statistically significant increase in intra-operative blood loss (weighted mean difference 40.93, 95% confidence interval (CI) 15.97-65.90, n = 243, and p=.001), longer duration of surgery (weighted mean difference −1.64, 95% CI −4.12 to 0.84, n = 1460, and p=.19), more complications (odds ratio: 1.59, 95% CI 1.24-2.05, n = 339, and p
ISSN:0268-8697
1360-046X
DOI:10.1080/02688697.2020.1867059