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首页> 外文期刊>Neurosurgical focus >Effect of body mass index on surgical outcomes after posterior spinal fusion for adolescent idiopathic scoliosis
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Effect of body mass index on surgical outcomes after posterior spinal fusion for adolescent idiopathic scoliosis

机译：体重指数对青少年特发性脊柱侧弯后路融合术后手术结果的影响

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OBJECTIVE Obesity is an increasing public health concern in the pediatric population. The purpose of this investigation was to examine the impact of body mass index (BMI) on 30-day outcomes after posterior spinal fusion for adolescent idiopathic scoliosis (AIS). METHODS The American College of Surgeons National Surgical Quality Improvement Program Pediatric database (2013 and 2014) was reviewed. Patients 10–18 years of age who had undergone fusion of 7 or more spinal levels for AIS were included. Thirty-day outcomes (complications, readmissions, and reoperations) were compared based on patient BMI per age- and sex-adjusted growth charts as follows: normal weight (NW; BMI 95th percentile). RESULTS Patients eligible for study numbered 2712 (80.1% female and 19.9% male) and had a mean age of 14.4 ± 1.8 years. Average BMI for the entire cohort was 21.9 ± 5.0 kg/m2; 2010 patients (74.1%) were classified as NW, 345 (12.7%) as OW, and 357 (13.2%) as OB. The overall complication rate was 1.3% (36/2712). For NW and OW patients, the complication rate was 0.9% in each group; for OB patients, the rate was 4.2% (p CONCLUSIONS Body mass index may be significantly associated with short-term outcomes after long-segment fusion procedures for AIS. Although NW and OW patients may have similar 30-day outcomes, OB patients had significantly higher wound complication, readmission, and reoperation rates and longer hospital stays than the NW patients. The findings of this study may help spine surgeons and patients in terms of preoperative risk stratification and perioperative expectations.
机译：目的肥胖症是儿童人群中日益关注的公共卫生问题。这项研究的目的是检查青少年特发性脊柱侧凸（AIS）后路脊柱融合术后体重指数（BMI）对30天结局的影响。方法回顾了美国外科医师学会国家外科手术质量改善计划的儿科数据库（2013年和2014年）。纳入接受10到18岁的7岁以上脊柱融合的AIS患者。根据每个年龄和性别调整后的生长图表，根据患者BMI比较30天的结局（并发症，再次入院和再次手术），如下所示：正常体重（NW; BMI第95％）。结果符合研究条件的患者人数为2712名（女性80.1％，男性19.9％），平均年龄为14.4±1.8岁。整个队列的平均BMI为21.9±5.0 kg / m 2 ; 2010年患者（74.1％）被分类为NW，345（12.7％）被归为OW，357（13.2％）被归为OB。总体并发症发生率为1.3％（36/2712）。对于NW和OW患者，每组的并发症发生率为0.9％。对于OB患者，该比率为4.2％（p结论）AIS的长段融合手术后，体重指数可能与短期预后显着相关。尽管NW和OW患者可能具有相似的30天预后，但OB患者的预后明显与NW患者相比，伤口并发症，再入院率和再手术率更高，住院时间更长，这项研究的结果可能对脊柱外科医生和患者的术前风险分层和围手术期期望有所帮助。

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