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

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

Researchers discover indicator of lung transplant rejection

July 13, 2017
Research by scientists at Dignity Health St. Joseph's Hospital and Medical Center's Norton Thoracic Institute was published in the July 12, 2017 issue of Science Translational Medicine titled "Zbtb7a induction in alveolar ...

New device could make closing surgical incisions a cinch

July 7, 2017
Like many surgeons, Dr. Jason Spector is often faced with the challenge of securely closing the abdominal wall without injuring the intestines. If the process goes awry, there can be serious consequences for patients, including ...

Success with first 20 patients undergoing minimally invasive pancreatic transplant surgery

June 29, 2017
Surgeons at Johns Hopkins Medicine report that their first series of a minimally invasive procedure to treat chronic pancreas disease, known as severe pancreatitis, resulted in shorter hospital stays, less need for opioids ...

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.