Does adolescent obesity affect surgical presentation and radiographic outcome for patients with adolescent idiopathic scoliosis?

被引：12

作者：

Bjerke, Benjamin T. ^{[1
]}

Saiyed, Rehan ^{[2
]}

Cheung, Zoe B. ^{[2
]}

Uppstrom, Tyler J. ^{[1
]}

Shifflett, Grant D. ^{[1
]}

Cunningham, Matthew E. ^{[1
,2
]}

机构：

[1] Hosp Special Surg, 535 E 70th St, New York, NY 10021 USA

[2] Weill Cornell Med Coll, New York, NY USA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2017年 / 26卷 / 01期

关键词：

adolescent idiopathic scoliosis; BMI; intraoperative blood loss; obesity; thoracic kyphosis; BODY-MASS INDEX; PRADER-WILLI-SYNDROME; BLOOD-VOLUME; COMPLICATIONS; CHILDHOOD; FUSION; DISEASE; SURGERY; RISK;

D O I：

10.1097/BPB.0000000000000351

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

The purpose of this study was to test a hypothesis that overweight patients with adolescent idiopathic scoliosis present with larger curves and achieve less surgical correction than do healthy weight counterparts. A total of 251 individuals were grouped by BMI into overweight (BMI% 85) and healthy weight (BMI% <85) groups. Overweight patients demonstrated significantly larger intraoperative blood loss (P=0.041), although there was no significant difference in the number of intraoperative transfusions. Major curves and surgical correction were similar between the two groups. A greater postoperative thoracic kyphosis at latest follow-up may suggest a worsening sagittal profile in these individuals postoperatively.

引用

页码：53 / 58

页数：6

共 23 条

[1]

Lifetime risk: childhood obesity and cardiovascular risk [J].

Ayer, Julian ;

Charakida, Marietta ;

Deanfield, John E. ;

Celermajer, David S. .

EUROPEAN HEART JOURNAL, 2015, 36 (22) :1371-+

[2]

Postoperative complications in obese and nonobese patients [J].

Bamgbade, Olumuyiwa A. ;

Rutter, Timothy W. ;

Nafiu, Olubukola O. ;

Dorje, Pema .

WORLD JOURNAL OF SURGERY, 2007, 31 (03) :556-561

[3]

Patient Factors Are Associated With Poor Short-term Outcomes After Posterior Fusion for Adolescent Idiopathic Scoliosis [J].

Basques, Bryce A. ;

Bohl, Daniel D. ;

Golinvaux, Nicholas S. ;

Smith, Brian G. ;

Grauer, Jonathan N. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2015, 473 (01) :286-294

[4]

A predictive model of complications after spine surgery: the National Surgical Quality Improvement Program (NSQIP) 2005-2010 [J].

Bekelis, Kimon ;

Desai, Atman ;

Bakhoum, Samuel F. ;

Missios, Symeon .

SPINE JOURNAL, 2014, 14 (07) :1247-1255

[5]

Body mass index in patients with slipped capital femoral epiphysis [J].

Bhatia, NN ;

Pirpiris, M ;

Otsuka, NY .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2006, 26 (02) :197-199

[6]

The Increased Total Cost Associated With Post-Operative Drains in Total Hip and Knee Arthroplasty [J].

Bjerke-Kroll, Benjamin T. ;

Sculco, Peter K. ;

McLawhorn, Alexander S. ;

Christ, Alexander B. ;

Gladnick, Brian P. ;

Mayman, David J. .

JOURNAL OF ARTHROPLASTY, 2014, 29 (05) :895-899

[7]

Use of the American College of Surgeons NSQIP Surgical Risk Calculator for Laparoscopic Colectomy: How Good Is It and How Can We Improve It? [J].

Cologne, Kyle G. ;

Keller, Deborah S. ;

Liwanag, Loriel ;

Devaraj, Bikash ;

Senagore, Anthony J. .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2015, 220 (03) :281-286

[8]

Variability of NSQIP-assessed surgical quality based on age and disease process [J].

Goldberg, Ross F. ;

Rosales-Velderrain, Armando ;

Clarke, Tatyan M. ;

Buchanan, Mauricia A. ;

Stauffer, John A. ;

McLaughlin, Sarah A. ;

Asbun, Horacio J. ;

Smith, C. Daniel ;

Bowers, Steven P. .

JOURNAL OF SURGICAL RESEARCH, 2013, 182 (02) :235-240

[9]

Tranexamic acid decreases external blood loss but not hidden blood loss in total knee replacement [J].

Good, L ;

Peterson, E ;

Lisander, B .

BRITISH JOURNAL OF ANAESTHESIA, 2003, 90 (05) :596-599

[10]

Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence [J].

Guo, SS ;

Wu, W ;

Chumlea, WC ;

Roche, AF .

AMERICAN JOURNAL OF CLINICAL NUTRITION, 2002, 76 (03) :653-658

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