associations between body mass and the outcome of surgery for scoliosis in chinese adults身体质量和结果之间的联系中国成人脊柱侧凸的手术.pdfVIP

Associations between Body Mass and the Outcome of Surgery for Scoliosis in Chinese Adults 1. 1,2. 1 1 1 1 Ziqiang Chen , Honglei Yi , Ming Li *, Chuanfeng Wang , Jingtao Zhang , Changwei Yang , Yingchuan Zhao1, Yanghu Lu1 1 Department of Orthopaedic Surgery, The Affiliated Changhai Hospital of the Second Military Medical University, Shanghai, China, 2 Chinese People’s Liberation Army 89 Hospital, Weifang, China Abstract Background: In this study we intended to prove that being overweight has an unfavorable impact on the surgical treatment outcome of adult idiopathic scoliosis (AdIS). Methods: This is a retrospective study on the surgical treatment of seventy-one more than 30 years old (58 females and 13 males; mean age 42.9612.2) idiopathic scoliotic patients with a minimum follow up of at least 2 years. The patients were divided into an overweight group (BMI$23) and a non-overweight group (BMI,23). Preoperative, postoperative first erect and final follow-up radiographic measures, perioperative data, the Oswestry disability index (ODI), and the visual analog scale (VAS) were reviewed and compared. Findings: In the overweight group, no significant differences in radiographic measures, perioperative data, preoperative comorbidities, or postoperative complications, except for the more frequent concomitance of preoperative thoracic kyphosis 37.967.7 vs. 26.5611.8 (P = 0.000) and thoracolumbar kyphosis 14.9610.1 overweighted group vs. 6.569.9 non- overweighted group respectively (P = 0.002) were found. A higher morbidity of hypertension 36.8% vs. 9.6% (P = 0.004) was also observed in the overweight group. Postoperative ODI and VAS improved significantly in both groups compared to pre- operat