The effect of increasing body mass index on the pain and function of patients with adult spinal deformity.

Body mass index (BMI) deformity obese scoliosis spine

Journal

Journal of spine surgery (Hong Kong)
ISSN: 2414-469X
Titre abrégé: J Spine Surg
Pays: China
ID NLM: 101685460

Informations de publication

Date de publication:
Dec 2019
Historique:
entrez: 12 2 2020
pubmed: 12 2 2020
medline: 12 2 2020
Statut: ppublish

Résumé

Both adult spinal deformity (ASD) and obesity are growing concerns internationally. This study therefore aims to determine the effect of increasing body mass index (BMI) on the pain and function of patients with ASD. A retrospective review of prospectively collected data from a multicentre European database was undertaken. Initially a univariate analysis was performed on the effect of BMI on the initial presentation of functional scores in patients with ASD. The functional scores included the Numerical Rating Scale (NRS) back and leg score, Core Outcome Measures Index (COMI) back score, SRS22 total score, Short Form 36 (SF-36) [general health, physical component score (PCS) and mental component score (MCS)] and Oswestry Disability Index (ODI) score (including all domains). Subsequently a multivariate analysis controlling for age, sex, comorbidities, employment status, smoking status and radiological parameters [coronal cobb, coronal balance, sagittal balance, global tilt, and pelvic incidence minus lumbar lordosis (PI - LL) mismatch] was performed. A total of 1,004 patients were included in this study (166 male, 838 female). On univariate analysis a statistically significant (P<0.05) moderate correlation between NRS leg pain, ODI (walking, standing, sex life, social life and total score), SF-36 (physical component), sagittal balance, global tilt and age were recognised (P<0.05). A statistically significant low correlation was identified for all other outcomes, except coronal balance (P=0.640). On multivariate analysis BMI remained significantly related to all functional outcomes except ODI-pain and ODI-travelling (P>0.05). Increasing BMI has a significant adverse effect on the pain and functioning of patients with ASD. Clinicians should recognise this association and treat patients accordingly.

Sections du résumé

BACKGROUND BACKGROUND
Both adult spinal deformity (ASD) and obesity are growing concerns internationally. This study therefore aims to determine the effect of increasing body mass index (BMI) on the pain and function of patients with ASD.
METHODS METHODS
A retrospective review of prospectively collected data from a multicentre European database was undertaken. Initially a univariate analysis was performed on the effect of BMI on the initial presentation of functional scores in patients with ASD. The functional scores included the Numerical Rating Scale (NRS) back and leg score, Core Outcome Measures Index (COMI) back score, SRS22 total score, Short Form 36 (SF-36) [general health, physical component score (PCS) and mental component score (MCS)] and Oswestry Disability Index (ODI) score (including all domains). Subsequently a multivariate analysis controlling for age, sex, comorbidities, employment status, smoking status and radiological parameters [coronal cobb, coronal balance, sagittal balance, global tilt, and pelvic incidence minus lumbar lordosis (PI - LL) mismatch] was performed.
RESULTS RESULTS
A total of 1,004 patients were included in this study (166 male, 838 female). On univariate analysis a statistically significant (P<0.05) moderate correlation between NRS leg pain, ODI (walking, standing, sex life, social life and total score), SF-36 (physical component), sagittal balance, global tilt and age were recognised (P<0.05). A statistically significant low correlation was identified for all other outcomes, except coronal balance (P=0.640). On multivariate analysis BMI remained significantly related to all functional outcomes except ODI-pain and ODI-travelling (P>0.05).
CONCLUSIONS CONCLUSIONS
Increasing BMI has a significant adverse effect on the pain and functioning of patients with ASD. Clinicians should recognise this association and treat patients accordingly.

Identifiants

pubmed: 32043004
doi: 10.21037/jss.2019.11.12
pii: jss-05-04-535
pmc: PMC6989938
doi:

Types de publication

Journal Article

Langues

eng

Pagination

535-540

Informations de copyright

2019 Journal of Spine Surgery. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest: The authors have no conflicts of interest to declare.

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Auteurs

David Christopher Kieser (DC)

Department of Orthopaedic Surgery and Musculoskeletal Medicine, Christchurch School of Medicine, University of Otago, Christchurch, New Zealand.

Michael Charles Wyatt (MC)

Department of Orthopaedic Surgery and Musculoskeletal Medicine, Christchurch School of Medicine, University of Otago, Christchurch, New Zealand.

Louis Boissiere (L)

L'Institut de la Colonne Vertébrale, Bordeaux University Hospital, Bordeaux, France.

Kazunori Hayashi (K)

L'Institut de la Colonne Vertébrale, Bordeaux University Hospital, Bordeaux, France.

Derek Thomas Cawley (DT)

Department of Spine Surgery, Tallaght University Hospital, Dublin, Ireland.

Caglar Yilgor (C)

Acibadem University School of Medicine, Istanbul, Turkey.

Daniel Larrieu (D)

L'Institut de la Colonne Vertébrale, Bordeaux University Hospital, Bordeaux, France.

Takashi Fujishiro (T)

L'Institut de la Colonne Vertébrale, Bordeaux University Hospital, Bordeaux, France.

Ahmet Alanay (A)

Acibadem University School of Medicine, Istanbul, Turkey.

Emre Acaroglu (E)

Spine Surgery Unit, Ankara Acibadem ARTES Spine Center, Ankara, Turkey.

Frank Kleinstueck (F)

Spine Center, Schulthess Klinik, Zurich, Switzerland.

Ferran Pellisé (F)

Spine Surgery Unit, Hospital Universitario Val Hebron, Barcelona, Spain.

Francisco Javier Sánchez Perez-Grueso (FJS)

Spine Surgery Unit, Hospital Universitario La Paz, Madrid, Spain.

Anouar Bourghli (A)

Orthopedic and Spinal Surgery Department, Kingdom Hospital, Riyadh, Saudi Arabia.

Jean-Marc Vital (JM)

L'Institut de la Colonne Vertébrale, Bordeaux University Hospital, Bordeaux, France.

Olivier Gille (O)

L'Institut de la Colonne Vertébrale, Bordeaux University Hospital, Bordeaux, France.

Ibrahim Obeid (I)

L'Institut de la Colonne Vertébrale, Bordeaux University Hospital, Bordeaux, France.

Classifications MeSH