Investigating the Association of Patient Body Mass Index With Posterior Subcutaneous Fat Thickness in the Cervical Spine: A Retrospective Radiographic Study.

body mass index cervical spine surgery complications outcomes preoperative planning subcutaneous fat thickness surgical site infection

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Feb 2023
Historique:
accepted: 07 02 2023
entrez: 13 3 2023
pubmed: 14 3 2023
medline: 14 3 2023
Statut: epublish

Résumé

Although BMI is often used as a surrogate for posterior cervical subcutaneous fat thickness (SFT), the association of BMI with cervical SFT is unknown. We performed a retrospective radiographic study to analyze the relationship between BMI and cervical SFT. This was a retrospective cohort study of patients with cervical CT scans. SFT was assessed by measuring the distance (mm) from the spinous processes of C2-C7 to the skin edge. Pearson correlations and linear regression were used to analyze the relationship between BMI and SFT. One-way ANOVA was used to analyze differences in C2-C7 distances while stratifying by BMI. A total of 96 patients were included. BMI had a moderate correlation with average C2-C7 ( BMI is not strongly correlated with SFT in the cervical spine. Although BMI less than 25 or greater than 40 is correlated with respectively decreased or increased cervical SFT, BMI of 25-40 is not correlated with cervical SFT. This is clinically important information for surgeons counseling patients on perioperative risk before undergoing cervical spine procedures, namely infection. Further research delineating the relationship between posterior SFT and surgical site infection in the cervical spine is warranted.

Identifiants

pubmed: 36909100
doi: 10.7759/cureus.34739
pmc: PMC9997731
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e34739

Informations de copyright

Copyright © 2023, Piche et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Joshua D Piche (JD)

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, USA.

Bridger Rodoni (B)

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, USA.

Aditya Muralidharan (A)

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, USA.

Daniel Yang (D)

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, USA.

Joel Gagnier (J)

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, USA.

Rakesh Patel (R)

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, USA.

Ilyas Aleem (I)

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, USA.

Classifications MeSH