1. Does obesity and varying body mass index affect the clinical outcomes and safety of biportal endoscopic lumbar decompression? A comparative cohort study.
- Author
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Olson, Thomas, Upfill-Brown, Alexander, Adejuyigbe, Babapelumi, Bhatia, Nitin, Lee, Yu-Po, Hashmi, Sohaib, Wu, Hao-Hua, Bow, Hansen, Park, Cheol, Heo, Dong, and Park, Don
- Subjects
Biportal Spinal Endoscopy ,Comorbidities ,Endoscopic Spine Surgery ,Lumbar Decompression ,Lumbar Discectomy ,Obesity ,Humans ,Obesity ,Male ,Female ,Middle Aged ,Body Mass Index ,Decompression ,Surgical ,Lumbar Vertebrae ,Spinal Stenosis ,Aged ,Treatment Outcome ,Adult ,Retrospective Studies ,Endoscopy ,Intervertebral Disc Displacement ,Postoperative Complications ,Cohort Studies - Abstract
BACKGROUND: Endoscopic spine surgery has recently grown in popularity due to the potential benefits of reduced pain and faster recovery time as compared to open surgery. Biportal spinal endoscopy has been successfully applied to lumbar disc herniations and lumbar spinal stenosis. Obesity is associated with increased risk of complications in spine surgery. Few prior studies have investigated the impact of obesity and associated medical comorbidities with biportal spinal endoscopy. METHODS: This study was a prospectively collected, retrospectively analyzed comparative cohort design. Patients were divided into cohorts of normal body weight (Bone Mass Index (BMI)18.0-24.9), overweight (BMI 25.0-29.9) and obese (BMI > 30.0) as defined by the World Health Organization (WHO). Patients underwent biportal spinal endoscopy by a single surgeon at a single institution for treatment of lumbar disc herniations and lumbar spinal stenosis. Demographic data, surgical complications, and patient-reported outcomes were analyzed. Statistics were calculated amongst treatment groups using analysis of variance and chi square where appropriate. Statistical significance was determined as p
- Published
- 2024