Low Body Mass Index Patients Undergoing an Anterior Lumbar Fusion May Have an Increased Risk of Perioperative Complications.

IF 1.7 Q2 SURGERY

International Journal of Spine Surgery Pub Date : 2023-12-26 DOI:10.14444/8539

Mark M Gleeson, Matthew J Solomito, Regina O Kostyun, Sean Esmende, Heeren Makanji

{"title":"Low Body Mass Index Patients Undergoing an Anterior Lumbar Fusion May Have an Increased Risk of Perioperative Complications.","authors":"Mark M Gleeson, Matthew J Solomito, Regina O Kostyun, Sean Esmende, Heeren Makanji","doi":"10.14444/8539","DOIUrl":null,"url":null,"abstract":"Background: Previous research has shown that underweight patients may be at a greater risk of experiencing postsurgical complications. The purpose of this study was to investigate the association between body mass index (BMI) and postoperative complications following single-level anterior lumbar fusion (ALF).Methods: All single-level elective ALF procedures performed between 2010 and 2020 were identified in the PearlDiver Mariner Database. Patients were separated into 6 groups based on the World Health Organization BMI classifications. Differences in postsurgical complications (ie, deep vein thrombosis, pulmonary embolism, surgical site infection, hardware malfunction, wound dehiscence, and blood transfusion) among BMI categories were assessed using a χ2 contingency test.Results: Results indicated that underweight patients (BMI <20) were at a significantly greater risk of developing deep vein thromboses, experiencing hardware malfunction, and requiring blood transfusion compared with any other BMI classification (P < 0.001). Results also demonstrated that underweight individuals had similar risks of developing surgical site infection and wound dehiscence compared with patients classified as having obesity class III.Conclusion: Underweight patients may be at a greater risk than currently believed of experiencing postoperative complications following single-level ALF procedures.Clinical relevance: Patients with a BMI of 20 or less should be carefully evaluated prior to surgical intervention to ensure they are optimized for surgery.Level of evidence: 3: ","PeriodicalId":38486,"journal":{"name":"International Journal of Spine Surgery","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753346/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Spine Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14444/8539","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Previous research has shown that underweight patients may be at a greater risk of experiencing postsurgical complications. The purpose of this study was to investigate the association between body mass index (BMI) and postoperative complications following single-level anterior lumbar fusion (ALF).

Methods: All single-level elective ALF procedures performed between 2010 and 2020 were identified in the PearlDiver Mariner Database. Patients were separated into 6 groups based on the World Health Organization BMI classifications. Differences in postsurgical complications (ie, deep vein thrombosis, pulmonary embolism, surgical site infection, hardware malfunction, wound dehiscence, and blood transfusion) among BMI categories were assessed using a χ² contingency test.

Results: Results indicated that underweight patients (BMI <20) were at a significantly greater risk of developing deep vein thromboses, experiencing hardware malfunction, and requiring blood transfusion compared with any other BMI classification (P < 0.001). Results also demonstrated that underweight individuals had similar risks of developing surgical site infection and wound dehiscence compared with patients classified as having obesity class III.

Conclusion: Underweight patients may be at a greater risk than currently believed of experiencing postoperative complications following single-level ALF procedures.

Clinical relevance: Patients with a BMI of 20 or less should be carefully evaluated prior to surgical intervention to ensure they are optimized for surgery.

Level of evidence: 3:

查看原文本刊更多论文

低体重指数患者接受前路腰椎融合术可能增加围手术期并发症的风险。

背景:先前的研究表明，体重过轻的患者可能有更大的风险经历术后并发症。本研究的目的是探讨体重指数(BMI)与单节段腰椎前路融合术(ALF)术后并发症之间的关系。方法:2010年至2020年间进行的所有单节段选择性ALF手术在PearlDiver Mariner数据库中进行了识别。根据世界卫生组织BMI分类将患者分为6组。术后并发症(即深静脉血栓形成、肺栓塞、手术部位感染、硬件故障、伤口裂开和输血)在BMI分类中的差异采用χ2意外检验。结果:结果显示体重过轻患者(BMI P < 0.001)。结果还表明，体重过轻的个体与III级肥胖患者相比，发生手术部位感染和伤口裂开的风险相似。结论:体重过轻的患者可能比目前认为的经历单节段ALF手术的术后并发症的风险更大。临床相关性:BMI为20或更低的患者应在手术干预前仔细评估，以确保他们最适合手术。证据等级:3;

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Spine Surgery Medicine-Surgery

CiteScore

3.10

自引率

0.00%

发文量

162

期刊介绍： The International Journal of Spine Surgery is the official scientific journal of ISASS, the International Intradiscal Therapy Society, the Pittsburgh Spine Summit, and the Büttner-Janz Spinefoundation, and is an official partner of the Southern Neurosurgical Society. The goal of the International Journal of Spine Surgery is to promote and disseminate online the most up-to-date scientific and clinical research into innovations in motion preservation and new spinal surgery technology, including basic science, biologics, and tissue engineering. The Journal is dedicated to educating spine surgeons worldwide by reporting on the scientific basis, indications, surgical techniques, complications, outcomes, and follow-up data for promising spinal procedures.