Back pain and sagittal spine alignment in obese patients eligible for bariatric surgery.

Autor: de Mello AP; Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Rua Silva Ramos 32, Rio de Janeiro, RJ, Brazil. apeixotodemello@hotmail.com.; Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, Brazil. apeixotodemello@hotmail.com., Martins GCDS; Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.; Hospital Federal de Ipanema (HFI), Rio de Janeiro, Brazil., Heringer AR; Hospital Federal de Ipanema (HFI), Rio de Janeiro, Brazil., Gamallo RB; Hospital Federal de Ipanema (HFI), Rio de Janeiro, Brazil., Martins Filho LFDS; Hospital Federal de Ipanema (HFI), Rio de Janeiro, Brazil., de Abreu AV; Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil., Carvalho ACP; Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil., Gama MP; Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.; Universidade de Brasília (UnB), Brasilia, Brazil.
Jazyk: angličtina
Zdroj: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society [Eur Spine J] 2019 May; Vol. 28 (5), pp. 967-975. Date of Electronic Publication: 2019 Mar 15.
DOI: 10.1007/s00586-019-05935-0
Abstrakt: Objective: The objective of this research was to evaluate the prevalence of cervical and lumbar pain in obese patients eligible for bariatric surgery and to investigate possible changes in sagittal spine alignment in these patients.
Methods: The following parameters were compared in 30 obese patients and a control group of 25 non-obese volunteers: body mass index, prevalence of cervical and lumbar pain assessed by visual analog scale (VAS), Neck Disability Index [NDI] and Oswestry Disability Index [ODI], as well as radiographic parameters of the spine and pelvis measured with Surgimap software.
Results: The cervical and lumbar VAS and the NDI and ODI were significantly worse in obese patients. Compared with the control group, the cervical sagittal vertical axis (cSVA) of the obese group had higher variance (p value = 0.0025) and the cervical lordosis was diminished (p value = 0.0023). Thoracic kyphosis, lumbar lordosis, and the pelvic parameters were not significantly different between the groups.
Conclusions: Obese patients demonstrated lower functional performance compared with their non-obese counterparts, while cervical lordosis was diminished and the cSVA was increased in obese patients. These slides can be retrieved under Electronic Supplementary Material.
Databáze: MEDLINE
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