超重增加围手术期脊柱手术并发症：一项单中心回顾性研究。

Overweight increases perioperative spinal surgery complications: a single-center retrospective study.

机构信息

Department of Orthopaedic Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Tokyo, Itabashi-Ku, 1738605, Japan.

Trauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.

出版信息

BMC Musculoskelet Disord. 2023 Feb 6;24(1):98. doi: 10.1186/s12891-023-06217-z.

DOI:10.1186/s12891-023-06217-z

PMID:36740675

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9900974/

Abstract

BACKGROUND

The World Health Organization (WHO) defines a person with a body mass index (BMI) greater than or equal to 25 kg/m as overweight. Being overweight is a lifestyle-related disease; however, little is known about the impact of overweight on the perioperative complications of orthopedic surgery. This study aimed to define the effect of overweight on the perioperative complications of spinal surgery.

METHODS

This retrospective case series study reviewed 269 consecutive patients who underwent spinal surgery. These patients were divided into the overweight (OW) and non-overweight (NOW) groups. Age, BMI, surgical time, blood loss, and perioperative complications were evaluated and compared between the groups.

RESULTS

There were 117 patients (43%) in the OW group and 152 (57%) in the NOW group. Cervical surgery was performed in 72 cases, thoracic surgery in 34, and lumbosacral surgery in 159. The surgical time was significantly longer in the OW group than in the NOW group (204.6 ± 98 min vs. 175 ± 75 min; p = 0.01). Blood loss was greater in the OW group than in the NOW group (446.8 ± 447.9 mL vs. 279 ± 296.5 mL; p = 0.00). Durotomy was more frequent in the OW group than in the NOW group (10 vs. 3 cases; p = 0.02). There was no difference in complications other than durotomy.

CONCLUSIONS

OW patients had longer surgical time, more blood loss, and more frequent durotomy than NOW patients. These findings indicate that overweight increases perioperative complications of spinal surgery.

摘要

背景

世界卫生组织（WHO）将身体质量指数（BMI）大于或等于 25kg/m2 的人定义为超重。超重是一种与生活方式相关的疾病；然而，人们对超重对骨科手术围手术期并发症的影响知之甚少。本研究旨在定义超重对脊柱手术围手术期并发症的影响。

方法

本回顾性病例系列研究回顾了 269 例连续接受脊柱手术的患者。这些患者被分为超重（OW）和非超重（NOW）组。评估并比较了两组患者的年龄、BMI、手术时间、出血量和围手术期并发症。

结果

OW 组 117 例（43%），NOW 组 152 例（57%）。行颈椎手术 72 例，胸椎手术 34 例，腰骶部手术 159 例。OW 组的手术时间明显长于 NOW 组（204.6±98 分钟比 175±75 分钟；p=0.01）。OW 组的出血量明显多于 NOW 组（446.8±447.9 毫升比 279±296.5 毫升；p=0.00）。OW 组的硬脊膜切开术发生率高于 NOW 组（10 例比 3 例；p=0.02）。除硬脊膜切开术外，两组间其他并发症无差异。