Body Mass Index in Adolescent Spinal Deformity: Comparison of Scheuermann's Kyphosis, Adolescent Idiopathic Scoliosis, and Normal Controls

2015 ◽  
Vol 3 (4) ◽  
pp. 318-326 ◽  
Author(s):  
Baron S. Lonner ◽  
Courtney S. Toombs ◽  
Qasim M. Husain ◽  
Paul Sponseller ◽  
Harry Shufflebarger ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Body Mass ◽  
Spinal Deformity ◽  
Scheuermann’S Kyphosis ◽  
Normal Controls

Low body mass index can be predictive of bracing failure in patients with adolescent idiopathic scoliosis: a retrospective study

2016 ◽  
Vol 26 (6) ◽  
pp. 1665-1669 ◽  
Author(s):  
Weixiang Sun ◽  
Jin Zhou ◽  
Minghui Sun ◽  
Xiaodong Qin ◽  
Yong Qiu ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Retrospective Study ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Body Mass ◽  
Low Body Mass Index

scholarly journals Effect of body mass index on surgical outcomes after posterior spinal fusion for adolescent idiopathic scoliosis

2017 ◽  
Vol 43 (4) ◽  
pp. E5 ◽  
Author(s):  
Rafael De la Garza Ramos ◽  
Jonathan Nakhla ◽  
Rani Nasser ◽  
Jacob F. Schulz ◽  
Taylor E. Purvis ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Body Mass ◽  
Complication Rate ◽  
Posterior Spinal Fusion ◽  
Reoperation Rate ◽  
Health Concern ◽  
The Impact

OBJECTIVEObesity is an increasing public health concern in the pediatric population. The purpose of this investigation was to examine the impact of body mass index (BMI) on 30-day outcomes after posterior spinal fusion for adolescent idiopathic scoliosis (AIS).METHODSThe American College of Surgeons National Surgical Quality Improvement Program Pediatric database (2013 and 2014) was reviewed. Patients 10–18 years of age who had undergone fusion of 7 or more spinal levels for AIS were included. Thirty-day outcomes (complications, readmissions, and reoperations) were compared based on patient BMI per age- and sex-adjusted growth charts as follows: normal weight (NW; BMI < 85th percentile), overweight (OW; BMI 85th–95th percentile), and obese (OB; BMI > 95th percentile).RESULTSPatients eligible for study numbered 2712 (80.1% female and 19.9% male) and had a mean age of 14.4 ± 1.8 years. Average BMI for the entire cohort was 21.9 ± 5.0 kg/m2; 2010 patients (74.1%) were classified as NW, 345 (12.7%) as OW, and 357 (13.2%) as OB. The overall complication rate was 1.3% (36/2712). For NW and OW patients, the complication rate was 0.9% in each group; for OB patients, the rate was 4.2% (p < 0.001). The 30-day readmission rate was 2.0% (55/2712) for all patients, 1.6% for NW patients, 1.2% for OW patients, and 5.0% for OB patients (p < 0.001). The 30-day reoperation rate was 1.4% (39/2712). Based on BMI, this reoperation rate corresponded to 0.9%, 1.2%, and 4.8% for NW, OW, and OB patients, respectively (p < 0.001). After controlling for patient age, number of spinal levels fused, and operative/anesthesia time on multiple logistic regression analysis, obesity remained a significant risk factor for complications (OR 4.61), readmissions (OR 3.16), and reoperations (OR 5.33; all p < 0.001).CONCLUSIONSBody mass index may be significantly associated with short-term outcomes after long-segment fusion procedures for AIS. Although NW and OW patients may have similar 30-day outcomes, OB patients had significantly higher wound complication, readmission, and reoperation rates and longer hospital stays than the NW patients. The findings of this study may help spine surgeons and patients in terms of preoperative risk stratification and perioperative expectations.

Body Mass Index as an Indicator of Pulmonary Dysfunction in Patients With Adolescent Idiopathic Scoliosis

2015 ◽  
Vol 28 (6) ◽  
pp. 226-231 ◽  
Author(s):  
Leilei Xu ◽  
Xu Sun ◽  
Zezhang Zhu ◽  
Jun Qiao ◽  
Saihu Mao ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Body Mass ◽  
Pulmonary Dysfunction

scholarly journals Effect of Cobb angle and BMI on scoliosis surgery recovery in adolescent idiopathic scoliosis patients

2015 ◽  
Vol 7 (2) ◽  
pp. 28-33
Author(s):  
Abdulmonem Alsiddiky ◽  
Abdullatef Alrashoudi ◽  
Ahmed AL Sayed ◽  
Albaraa Aljerian ◽  
Abeer Aljomiah
Keyword(s):  
Body Mass Index ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Body Mass ◽  
Daily Living ◽  
Scoliosis Surgery ◽  
Mean Values ◽  
Cobb’S Angle ◽  
The Mean

Aims and Objectives: To assess the effect of Cobb angle and body mass index (BMI) on surgery recovery outcomes in Adolescent Idiopathic Scoliosis (AIS) patients.Materials and Methods: A retrospective study of 79 Adolescent Idiopathic Scoliosis patients who underwent corrective operations, at King Khaled University Hospital, Riyadh, Saudi Arabia was carried out in 2014. The patients were divided according into Cobb’s angle (mild, moderate and severe) and as per weight (healthy weight and overweight). Data of preoperative, intra-operative and postoperative information as well as measures of daily-living activities were collected.Results: The mean age of 79 patients (70females) was 16.6 years. Cobb angle assessment was mild in 41 (51.9%), moderate in 24(30.4%) and 14(17.7%) were severe. Mean surgery and recovery time of patients is statistically significantly different in relation to severity of Cobb’s angle (mild, moderate and severe). There is highly statistically significant difference in mean ranks of days taken for different measures of daily living in relation to severity of Cobb’s angle. The mean values of body mass index have significantly reduced after surgery, when compared with mean values at before surgery. The mean surgery time was statistically significantly higher in over weight patients (5.33 hours).Conclusions: The results show an effect of severity of Cobb angle on recovery measures of patients with AIS, but no effect of BMI. BMI was corrected in these patients after surgery. Prospective studies are required to assess clinical outcomes of post-operative surgery, satisfaction of patients towards their body image and quality of life.Asian Journal of Medical Sciences Vol.7(2) 2015 28-33

Poor outcomes and satisfaction in adolescent idiopathic scoliosis surgery: the relevance of the body mass index and self-image

2014 ◽  
Vol 24 (2) ◽  
pp. 276-280 ◽  
Author(s):  
Daniel Pérez-Prieto ◽  
Juan Francisco Sánchez-Soler ◽  
Juana Martínez-Llorens ◽  
Sergi Mojal ◽  
Joan Bagó ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Body Mass ◽  
The Body ◽  
Scoliosis Surgery ◽  
Self Image ◽  
Poor Outcomes

Low Body Mass Index in Adolescent Idiopathic Scoliosis

Spine ◽  
2014 ◽  
Vol 39 (2) ◽  
pp. 140-148 ◽  
Author(s):  
Roslyn C. Tarrant ◽  
Sam Lynch ◽  
Padraig Sheeran ◽  
Padhraig F. OʼLoughlin ◽  
Michelle Harrington ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Body Mass ◽  
Low Body Mass Index
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