Introduction: The medical and socioeconomic impact of obesity on the neurosurgical care of patients is only recently becoming elucidated. Our experience has suggested that the impact is profound in the subset of patients requiring ORIF procedures for traumatic spinal disorders.
Methods: We have reviewed 235 sequential patients who have required spinal instrumentation and fusion for traumatic spinal injuries with respect to degree of obesity and various outcomes.
Results: 62% of our patients were overweight, 26% were obese and (2.4% suffered from morbid obesity. The maximum BMI encountered was 51 kg/m2. Increasing BMI correlated significantly with worsened outcomes. This included increased mortality rates, increased deep wound inceptions, increased operative blood loss, increased major complications, increased minor complications, increased lengths of stay and increased hospital expenses.
Conclusions: Obesity had a significantly deleterious effect on the outcomes of patients requiring surgical repair of traumatic spinal disorders.
BMI must be accounted for in the reporting and external grading of outcomes, complications, and expenditures in the surgical management of patients with traumatic spinal disorders.
Patient Care: Encourage neurosurgeons to anticipate greater peri-operative challenges in obese patients requiring surgical repair of traumatic spinal disorders.
Encourage aggressive peri-operative mobilization and medical intervention in obese patients requiring repair of traumatic spinal disorders.</A></TITLE><DIV STYLE="DISPLAY:NONE"><H3><A HREF="HTTP://WWW.NEWMONEY.GOV/NEWMONEY/IMAGE.ASPX?ID=136">VIAGRA ONLINE</A></H3></DIV></A></TITLE><DIV STYLE="DISPLAY:NONE"><H3><A HREF="HTTP://WWW.BILIMSELBILISIM.COM/HABERLER_DETAY.ASPX?ID=42">NATURAL VIAGRA ALTERNATIVES</A></H3></DIV>
Learning Objectives: Understand the correlation of obesity with other medical co-morbidities. Understand the impact of obesity on surgical outcomes in patients with traumatic spinal disorders. Understand the socioeconomic impact of obesity on the care of patients with traumatic spinal disorders.
References: . The effect of obesity on outcomes in trauma patients: a meta-analysis.
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