Does obesity impact lumbar sagittal alignment and clinical outcomes after a posterior lumbar spine fusion?

AbstractPurposeThe purpose of this study is to compare clinical patient-reported outcomes and radiographic sagittal parameters between obese and non-obese patients following open posterior lumbar spine fusion (PLSF).MethodsA retrospective cohort study was conducted for patients who underwent open PLSF from 2011 to 2018. Patients were classified as obese as per Center for Disease Control and Prevention guidelines if their body mass index (BMI)  ≥ 30 kg/m2. Preoperative and final visual analog scale (VAS) back pain, VAS leg pain, and Oswestry Disability Index (ODI) were obtained for both obese and non-obese groups. Achievement of minimal clinically important difference was evaluated. Preoperative, immediate postoperative, and final lumbar plain radiographs were assessed to measure spinopelvic parameters. Additionally, postoperative complication measures were collected.ResultsA total of 569 patients were included; 290 (50.97%) patients with BMI  
Source: European Spine Journal - Category: Orthopaedics Source Type: research

Related Links:

ConclusionsWe conclude that AATG is a promising and safe modality for the treatment of the painful scar. There is an abundance of low-level evidence to support its use as an alternative treatment but there is a lack of high-level evidence at present to support its standard use. Future long-term randomized controlled trials with analgesic scores as the primary outcome measures are required to assess long-term efficacy.
Source: Cytotherapy - Category: Cytology Source Type: research
ConclusionsComparisons of CABG characteristics and outcomes were conducted between the STS National Database and JCVSD to illustrate the value of international collaboration off adult cardiac surgery databases.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Publication date: Available online 17 September 2019Source: Journal of Forensic and Legal MedicineAuthor(s): Gilberto Paiva de Carvalho, Yasmin Comoti Vita BantimAbstractDeaths that occur in prisons riots can be by extreme violence. When unrecognizable corpses are referred for examination, the process of human identification is hampered. The aim of this study is to present applicability in human identification by ear individual signs in an inmate beheaded in Brazil prison riot. Ten prisoners died in the rebellion being discussed. Seven corpses had been burned, and three of them were beheaded. For the examination, only two ...
Source: Journal of Forensic and Legal Medicine - Category: Forensic Medicine Source Type: research
What began primarily as nature art, has also blossomed into a popular pet portrait art studio for pet owners who adore their pets
Source: Disabled World - Category: Disability Tags: Art - Artists Source Type: news
Authors: Yang X Abstract Diabetic nephropathy (DN) is a serious complication of diabetes mellitus whose expand process is linked with the fibrosis, renal hypertrophy and inflammation. The current study was to formulate and optimize the nano-formulation of crocetin (CT-PLGA-NPs) against Streptozotocin-induced renal nephropathy in rats. Double emulsion evaporation technique was used for the preparation of CT-PLGA-NPs. CT-PLGA-NPs were scrutinized for polydispersity index, size, gastric stability, entrapment, drug-loading capacity and in-vitro drug release and in vivo preclinical study. Single intraperitoneal injectio...
Source: Drug Delivery - Category: Drugs & Pharmacology Tags: Drug Deliv Source Type: research
Findings based on survey of university - affiliated students, staff with either type 1 or type 2 diabetes
Source: The Doctors Lounge - Psychiatry - Category: Psychiatry Tags: Endocrinology, Family Medicine, Internal Medicine, Nursing, Pediatrics, Psychiatry, Journal, Source Type: news
CONCLUSION: Despite early diagnosis and management of this rare injury, the prognosis for functional recovery is guarded and largely dictated by the extent of neurological injury in the setting of concomitant brachial plexopathy. Brachial plexopathy is highly associated with axillary artery injury and its impact often underestimated in comparison due to its non-limb-threatening nature in the acute setting. Future studies should focus on the long-term prognosis for functional recovery in patients with this rare injury pattern. PMID: 31525793 [PubMed - as supplied by publisher]
Source: Zeitschrift fur Orthopadie und Unfallchirurgie - Category: Orthopaedics Tags: Z Orthop Unfall Source Type: research
ConclusionsObesity and overweight conditions are related to higher mortality and disability than previously estimated; effective interventions aimed at prevention and treatment will have a high impact on quality of life.
Source: Value in Health Regional Issues - Category: International Medicine & Public Health Source Type: research
Conclusion: Genetic associations of diseases considerably vary across populations which necessitates health-related genotyping efforts especially for so far understudied populations. SOM portrayal represents novel promising methods in population genetic research with special strength in visualization-based comparison of SNP data. Introduction Non-communicable polygenic diseases such as cancers, neurodegeneration, cardiovascular, and metabolic disorders have become the most prevalent type worldwide and account for the majority of death events in developed and transition economy countries (Habib and Saha, 2010; Benzi...
Source: Frontiers in Genetics - Category: Genetics & Stem Cells Source Type: research
This study aims to validate an ambulatory circadian monitoring (ACM) device for the detection of sleep and wake states and apply it to the evaluation of sleep quality in patients with Parkinson disease (PD). A polysomnographic validation study was conducted on a group of patients with different sleep disorders in a preliminary phase, followed by a pilot study to apply this methodology to PD patients. The ACM device makes it possible to estimate the main sleep parameters very accurately, as demonstrated by: (a) the lack of significant differences between the mean values detected by PSG and ACM in time in bed (TIB), total sl...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
More News: Anesthesia | Anesthesiology | Back Pain | Diabetes | Diabetes Mellitus | Disability | Eating Disorders & Weight Management | Endocrinology | Obesity | Orthopaedics | Pain | Radiography | Study