Low BMI tied to better surgical scoliosis curve correction

January 29, 2014
Low BMI tied to better surgical scoliosis curve correction

(HealthDay)—For patients undergoing spinal fusion for adolescent idiopathic scoliosis (AIS), low body mass index (BMI) is associated with greater percent correction of thoracic curves, according to a study published in the Jan. 15 issue of Spine.

Roslyn C. Tarrant, Ph.D., from Our Lady's Children's Hospital in Dublin, and colleagues analyzed data from 77 patients (mean age, 15.04 years) with AIS who underwent one-stage posterior and correction at two tertiary centers between January 2010 and April 2012. Using the British 1990 growth reference data, preoperative weight, corrected height, and BMI values were converted to z scores.

The researchers found that 27.3 percent of participants had a low preoperative BMI, and 6.5 percent were considered severely thin. There was a greater percent correction of thoracic curves associated with lower BMI and weight z scores (both P < 0.05). Low BMI correlated significantly with preoperative asthma incidence (adjusted odds ratio [aOR], 5.33; P = 0.023); prolonged prothrombin time (aOR, 4.53;P = 0.027); and postoperative ileus development (aOR, 11.96, P = 0.019). The BMI groups did not differ significantly with respect to preoperative Cobb angle, estimated intraoperative blood loss, and length of hospital stay.

"Low BMI was independently associated with preoperative asthma incidence, prolonged preoperative prothrombin time, as well as postoperative ileus, a finding that warrants further analysis in future studies," the authors write.

Explore further: Pre-op depression linked to narcotic use before spinal Sx

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Pre-op depression linked to narcotic use before spinal Sx

December 19, 2013
(HealthDay)—For patients undergoing spinal surgery for a structural lesion, preoperative depression and anxiety are associated with increased preoperative narcotic use, according to a study published in the Dec. 1 issue ...

Risk factors ID'd for massive blood loss in scoliosis surgery

March 8, 2013
(HealthDay)—For patients undergoing scoliosis surgery, the risk of massive blood loss is increased with preoperative Cobb angles bigger than 50 degrees and for those undergoing osteotomy or fusion of more than six levels, ...

Hypertension linked to post-cervical fusion readmission

January 22, 2014
(HealthDay)—The readmission rate following anterior cervical discectomy and fusion (ACDF) is 2.5 percent, and hypertension may increase the likelihood of readmission, according to a study published in the Jan. 15 issue ...

Post-op PTSD tied to reduced elective lumbar fusion benefit

August 14, 2013
(HealthDay)—Postoperative posttraumatic stress disorder (PTSD) symptoms are strongly correlated with reduced clinical benefit from elective lumbar spinal fusion, according to a study published in the Aug. 1 issue of Spine.

Central adiposity linked to risk of esophageal cancer

November 21, 2013
(HealthDay)—A systematic review and meta-analysis of observational studies shows that central adiposity, independent of body mass index (BMI), is associated with increased risk of esophageal inflammation, metaplasia, and ...

BMI not linked to pain after exercise rehab for back pain

December 12, 2013
(HealthDay)—For individuals with chronic low back pain (cLBP), body mass index (BMI) is not significantly associated with self-reported pain and disability, according to a study published in the Dec. 1 issue of Spine.

Recommended for you

Drug may help surgical patients stop opioids sooner

December 13, 2017
(HealthDay)—Opioid painkillers after surgery can be the first step toward addiction for some patients. But a common drug might cut the amount of narcotics that patients need, a new study finds.

Children best placed to explain facts of surgery to patients, say experts

December 13, 2017
Getting children to design patient information leaflets may improve patient understanding before they have surgery, finds an article in the Christmas issue of The BMJ.

Burn victim saved by skin grafts from identical twin (Update)

November 23, 2017
A man doomed to die after suffering burns across 95 percent of his body was saved by skin transplants from his identical twin in a world-first operation, French doctors said Thursday.

Is a common shoulder surgery useless?

November 21, 2017
(HealthDay)—New research casts doubt on the true effectiveness of a common type of surgery used to ease shoulder pain.

Study shows electric bandages can fight biofilm infection, antimicrobial resistance

November 6, 2017
Researchers at The Ohio State University Wexner Medical Center have shown - for the first time - that special bandages using weak electric fields to disrupt bacterial biofilm infection can prevent infections, combat antibiotic ...

Obesity increases incidence, severity, costs of knee dislocations

November 3, 2017
A new study of more than 19,000 knee dislocation cases in the U.S. between 2000 and 2012 provides a painful indication of how the nation's obesity epidemic is changing the risk, severity and cost of a traumatic injury.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.