How Does Body Mass Index Influence Outcomes in Patients After Lumbar Fusion?

Study Design. Retrospective study. Objective. The purpose of the present study is to determine how body mass index (BMI) affects patient-reported outcome measurements (PROMs) after lumbar fusions. Summary of Background Data. Although greater preoperative BMI is known to increase the rates of adverse events after surgery, there is a paucity of literature assessing the influence of BMI on PROMs after lumbar fusion. Methods. Patients undergoing lumbar fusion surgery between 1 and 3 levels were retrospectively identified. PROMs analyzed were the Short Form-12 Physical Component Score, Mental Component Score, Oswestry Disability Index (ODI), and Visual Analog Scale Back and Leg pain scores. Patients were divided into groups based on preoperative BMI: class 1, BMI
Source: Spine - Category: Orthopaedics Tags: SURGERY Source Type: research

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Authors: Du WJ, Wang J, Wang Q, Yuan LJ, Lu ZX Abstract Context/objective: At present, there is no consensus on the most effective surgical method for treating symptomatic lumbar spinal stenosis (LSS). Total laminectomy, which is frequently used at this time, destroys the posterior midline structure, causing many postoperative complications. We have designed a new surgical approach instead of total laminectomy. In this paper, we aimed to describe the surgical method of endoscopic modified total laminectomy for lumbar spinal stenosis as well as to explore its early efficacy.Participants: Patients with symptomatic LS...
Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research
To date, no studies have evaluated the outcomes of lumbar interbody fusion using the anterior to psoas (ATP) approach in patients with spondylolisthesis at L5/S1. We; therefore, aimed to evaluate short-term surgical outcomes of interbody fusion using the ATP approach combined with posterior fixation in these patients. We performed a retrospective analysis of 9 patients with grade I spondylolisthesis at L5/S1 who were treated with fusion and posterior fixation using the ATP approach at our hospital from April to July 2018. The recorded parameters included operation time, intraoperative blood loss, complications, interverte...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Conclusions: Spinal instability is the nodal point of pathogenesis of spinal degeneration-related AIDLS. Only fixation of the involved spinal segments is necessary, and decompression by bone or soft-tissue resection is not necessary.
Source: Journal of Craniovertebral Junction and Spine - Category: Orthopaedics Authors: Source Type: research
ConclusionRA prevalence was 3.2%, one of the highest reported using the COPCORD methodology in indigenous and non-indigenous peoples in Latin America, with a high percentage of family cases. Pain and functional capacity were the variables allowing patients ’ early referral to a specialist.Key Points• The RA prevalence was 3.2%, one of the highest reported using COPCORD methodology in indigenous and non-indigenous peoples in Latin America.• The patients with RA had high percentage of familiar history of RA.• The pain and functional capacity were the variables associated with a diagnosis of any rheumatic...
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
Conclusions: Musculoskeletal disorders symptoms are highly prevalent in musicians. The main risk factors related to musculoskeletal disorders symptoms were gender (being female), overweight, obesity, and spending playing more than 14 h a week practicing. This study highlights the need to provide strategies to prevent occupational disabilities among musicians. Further studies are needed to analyse the prevalence of pain in the musician using other sampling methods.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
(Natural News) It is not uncommon for people to experience lower back pain every now and then. In fact, according to the National Institute of Neurological Disorders and Stroke (NINDS), lower back pain is one of the most common causes of job-related disability and one of the primary reasons why people miss work. The NINDS also...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
Conditions:   Low Back Pain;   Veterans Family Interventions:   Behavioral: Pain modulation with physical pain treatment;   Behavioral: Telephone delivered self-management counseling for increasing physical activity;   Behavioral: Telephone delivered behavioral treatment for participants with high risk for continued disability;   Behavioral: Patient pre ference treatment protocol;   Behavioral: Nonpharmacological guideline adherent treatment protocol;   Behavioral: Facilitated referrals to existing VA or non-VA pain management resources Sponsors: &n...
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractObjectiveTo raise the diagnostic criteria, classification and treatment strategy of dynamic sagittal imbalance (DSI).MethodsOne hundred thirty-three adult spinal deformity (ASD) patients with stooping and back pain after walking were retrospectively analyzed. Based on the radiographic parameters and Oswestry Disability Index (ODI) scores, the diagnostic criteria of DSI were raised. DSI patients received nonoperative treatment and (or) surgery. Radiographic parameters and health-related quality of life (HRQOL) outcomes would be measured and compared between prewalk and postwalk and among each subgroup.ResultsOne hun...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
AbstractPain is common and refractory in spinal cord injury (SCI). Currently, most studies evaluated pain in male ‐predominant traumatic‐SCI. Also, concomitant secondary pain syndromes and its temporal evolution were seldom reported. We aimed to prospectively describe the main and secondary pain and its associated factors in inflammatory‐SCI evaluating neuromyelitis optica (NMO) patients.In ‐remission NMO patients underwent neurological, imaging and autoantibody evaluations. Questionnaires detailing main and secondary pains, functional state, mood, catastrophising, quality of life (QoL) and “non‐motor sympt...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Stienen MN Abstract OBJECTIVE: The 6-minute walking test (6WT) is used to determine restrictions in a subject's 6-minute walking distance (6WD) due to lumbar degenerative disc disease. To facilitate simple and convenient patient self-measurement, a free and reliable smartphone app using Global Positioning System coordinates was previously designed. The authors aimed to determine normative values for app-based 6WD measurements. METHODS: The maximum 6WD was determined three times using app-based measurement in a sample of 330 volunteers without previous spine surgery or current spine-related disability, recrui...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
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