European Spine Journal

, Volume 20, Issue 7, pp 1182–1187 | Cite as

Perioperative morbidity and complications in minimal access surgery techniques in obese patients with degenerative lumbar disease

  • Wolfgang Senker
  • Christian Meznik
  • Alexander Avian
  • Andrea Berghold
Original Article

Abstract

The medical profession is increasingly confronted with the epidemic phenomenon of obesity. Its impact on spine surgery is not quite clear. Published data concerning the use of minimally invasive surgery (MIS) in the spine among obese patients is scarce. The purpose of the present retrospective study was to evaluate perioperative as well as postoperative complication rates in MIS fusion of the lumbar spine in obese, overweight and normal patients classified according to their body mass index. Lumbar MIS fusion was performed by means of TLIF procedures and/or posterolateral fusion alone. A laminotomy was performed in patients with spinal stenosis. Of 72 patients, 39 underwent additional laminotomy for spinal stenosis. No differences were registered in respect of the numbers of fused segments or cages. Any harmful event occurring peri- or postoperatively was noted and included in the statistical analysis. No infection at the site of surgery or severe wound healing disorder was encountered. We registered no difference in blood loss, drainage, or the length of the hospital stay between the three BMI groups. We also observed no difference in complication rates between the three groups. This study confirms the low soft tissue damage of minimal access surgery techniques, which is an important type of surgery in obese patients. The smaller approach helps to minimize infections and wound healing disorders. Moreover, deeper regions of wounds are clearly visualized with the aid of tubular retractors.

Keywords

Minimally invasive spinal surgery Degenerative lumbar disease Obesity Complications 

Notes

Acknowledgments

No funds or other benefits were received in support of this study.

Conflict of interest

None.

Supplementary material

586_2011_1689_MOESM1_ESM.pdf (2.7 mb)
Supplementary material 1 (PDF 2724 kb)

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Wolfgang Senker
    • 1
  • Christian Meznik
    • 1
  • Alexander Avian
    • 2
  • Andrea Berghold
    • 2
  1. 1.Department of Orthopedic SurgeryGeneral Hospital AmstettenAmstettenAustria
  2. 2.Institute for Medical Informatics, Statistics and Documentation, Graz General Hospital and University ClinicsMedical University of GrazGrazAustria

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