Obesity Is Associated With Increased Thoracic Kyphosis in Adolescent Idiopathic Scoliosis Patients and Nonscoliotic Adolescents

Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Alan G. Valdovino, Tracey P. Bastrom, Fredrick G. Reighard, Madeline Cross, Carrie E. Bartley, Suken A. Shah, Burt Yaszay, Peter O. Newton, Vidyadhar V. UpasaniAbstractStudy DesignRetrospective comparative cohort study.ObjectiveTo compare radiographic parameters between adolescents with a greater body mass index (BMI) percentile to underweight individuals.Summary of Background DataIncreased BMI percentile has been associated with increased complications after surgical correction of adolescent idiopathic scoliosis (AIS). However, association between BMI percentile and preoperative sagittal plane alignment has not been evaluated. The purpose of this study was to evaluate the effect of BMI percentile on sagittal alignment in AIS patients compared with nonscoliotic adolescents.MethodsPosterior-anterior and lateral spinal radiographs of 1,551 AIS patients with a thoracic major curve (Lenke 1–4) and 70 nonscoliotic adolescent patients were compared. BMI percentile was determined based on age and sex, and patients were divided into four categories: underweight (
Source: Spine Deformity - Category: Orthopaedics Source Type: research

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Study Design. Retrospective. Objective. Assess the impact of varying severity of BMI on 30-day outcomes following posterior spinal fusions in neuromuscular scoliosis. Summary of Background Data. Obesity in the pediatric population is shown to be associated with adverse outcomes across varying specialties. The weight-outcome relationship in neuromuscular scoliosis has not been thoroughly investigated. Methods. The 2012–2016 American College of Surgeons – National Surgical Quality Improvement (ACS-NSQIP) database was queried using Current Procedural Terminology codes 22800, 22802, and 22804 to identify...
Source: Spine - Category: Orthopaedics Tags: DEFORMITY Source Type: research
Obesity in the pediatric population is shown to be associated with adverse outcomes across varying specialties. The weight-outcome relationship in neuromuscular scoliosis has not been thoroughly investigated.
Source: The Spine Journal - Category: Orthopaedics Authors: Source Type: research
Abstract Myelomeningocele (MMC) is a neural tube defect that often causes spinal cord injury at the thoracolumbar region, as well as sensory and motor paralysis in the lower limbs. This leads to continuous use of a wheelchair and, consequently, a sedentary lifestyle, predisposition to muscle weakness, cardiovascular and respiratory disorders, obesity, and structural alterations in the spine. We assessed the respiratory function and shoulder strength of MMC participants who were wheelchair-users and had no respiratory complaints and compared them to healthy children and adolescents. MMC (n=10) and healthy (n=25) pa...
Source: Braz J Med Biol Res - Category: Research Authors: Tags: Braz J Med Biol Res Source Type: research
Abstract OBJECTIVE: Obesity, a condition that is increasing in prevalence in the United States, has previously been associated with poorer outcomes following deformity surgery, including higher rates of perioperative complications such as deep and superficial infections. To date, however, no study has examined the relationship between preoperative BMI and outcomes of deformity surgery as measured by spine parameters such as the sagittal vertical axis (SVA), as well as health-related quality of life (HRQoL) measures such as the Oswestry Disability Index (ODI) and Scoliosis Research Society-22 patient questionnaire ...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
Publication date: July 2019Source: Spine Deformity, Volume 7, Issue 4Author(s): Dolores Escrivá, Inmaculada Benet, Jesús Burgos, Carlos BarriosAbstractStudy DesignCross-sectional comparative study.ObjectivesTo assess the adiposity-age distribution in girls with adolescent idiopathic scoliosis (AIS) and to define the prevalence of underweight, overweight, and obesity in these patients as compared with healthy controls.Summary of Background DataThe current literature focusing the nutritional status of individuals with AIS does not provide data on the prevalence of overweight in these patients.MethodsThe sample ...
Source: Spine Deformity - Category: Orthopaedics Source Type: research
This study assessed the rate of adverse wound events in individuals with adolescent idiopathic scoliosis who underwent a posterior spinal fusion and sought to determine if obesity was related to the rate of adverse wound events. A retrospective review of patients with adolescent idiopathic scoliosis that underwent posterior spinal fusion between 2001 and 2013 was performed. Preoperative, perioperative, and postoperative data, including wound adverse events, were obtained through medical record review. Using the Center for Disease Control BMI criteria, participants were grouped into overweight/obese (BMI%≥85 percentile) ...
Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: SPINE Source Type: research
Publication date: May 2019Source: Spine Deformity, Volume 7, Issue 3Author(s): Alan H. Daniels, Daniel B.C. Reid, Stacie Nguyen Tran, Robert A. Hart, Eric O. Klineberg, Shay Bess, Douglas Burton, Justin S. Smith, Christopher Shaffrey, Munish Gupta, Christopher P. Ames, D. Kojo Hamilton, Virginie LaFage, Frank Schwab, Robert Eastlack, Behrooz Akbarnia, Han Jo Kim, Michael Kelly, Peter G. Passias, Themistocles ProtopsaltisAbstractStudy DesignRetrospective review of a prospectively collected multicenter database.ObjectivesTo evaluate the evolution of surgical treatment strategies, complications, and patient-reported outcomes ...
Source: Spine Deformity - Category: Orthopaedics Source Type: research
Authors: Naresh-Babu J, Viswanadha AK, Ito M, Park JB Abstract This literature review aims to determine potential clinical factors or comorbidities besides radiological parameters that affect the outcome of adult spinal deformity (ASD) management and review existing classifications associated with ASD. ASD is a multifactorial disease that comprises pathologies like radiological spine deformity, coexistence of spinal canal stenosis, radiculopathy, and multiple comorbidities. The available classification systems of ASD are predominantly based on radiological parameters and do not consider related clinical conditions....
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
CONCLUSIONS: The initial curvature correction of 50% required for effective brace therapy could only be achieved in one third of the patients. On average, the correction was 31%. PMID: 30899990 [PubMed - as supplied by publisher]
Source: Der Orthopade - Category: Orthopaedics Authors: Tags: Orthopade Source Type: research
Conclusion. OW AIS patients (≥85th percentile) had similar mean operative time, intraoperative blood loss, allogeneic transfusion rate, length of stay, and perioperative complications compared with HW AIS patients. Level of Evidence: 3
Source: Spine - Category: Orthopaedics Tags: DEFORMITY Source Type: research
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