Comparison of Complications and Clinical and Radiographic Outcomes between Nonobese and Obese Patients with Adult Spinal Deformity Undergoing Minimally Invasive Surgery

Paul Park, Michael Y. Wang, Stacie Nguyen, Gregory M. Mundis, Frank La Marca, Juan S. Uribe, Neel Anand, David O. Okonkwo, Adam S. Kanter, Richard Fessler, Robert K. Eastlack, Dean Chou, Vedat Deviren, Pierce D. Nunley, Christopher I. Shaffrey, Praveen V. Mummaneni

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Objective Obesity can be associated with increased complications and potentially worse outcomes. We aimed to evaluate the impact of obesity on complications and outcomes in patients with adult spinal deformity (ASD) who underwent minimally invasive surgery (MIS). Methods A multicenter database of patients with ASD treated via MIS was queried. Of 190 patients in the database, 77 fit the inclusion criteria of 3 or more spinal levels treated minimally invasively. Patients were divided by body mass index (BMI) <30 (nonobese; n = 59) and BMI ≥30 (obese; n = 18). Results Mean BMI was 24.6 nonobese and 35.0 obese (P < 0.001). There were mean 3.8 interbody fusions nonobese and 4.7 obese (P = 0.065). Levels treated posteriorly averaged 5.8 nonobese and 5.9 obese (P = 0.502). Mean follow-up was 34.4 months nonobese and 35.3 months obese (P = 0.976). Baseline radiographic parameters were similar between groups. Postoperatively, SVA averaged 83.9 mm obese and 20.4 mm nonobese (P = 0.002). Postoperative lumbar lordosis-pelvic incidence mismatch averaged 17.9°obese and 9.9°nonobese (P = 0.028). Both groups had improvement in Oswestry Disability Index (ODI) scores with no difference in postoperative ODI scores between groups (P = 0.090). Similarly, both groups had decreased VAS scores for back and leg pain with no difference between groups postoperatively. Twenty (33.9%) nonobese patients versus 7 (38.9%) obese patients had complications (P = 0.452). Conclusions Our results suggest that obesity does not negatively impact complication rate or clinical outcomes in patients with ASD treated via MIS approaches.

Original languageEnglish (US)
Pages (from-to)55-60
Number of pages6
JournalWorld neurosurgery
Volume87
DOIs
StatePublished - Mar 1 2016

Keywords

  • Complications
  • Minimally invasive surgery
  • Obesity
  • Outcomes
  • Scoliosis
  • Spinal deformity

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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