The Impact of Prior Bariatric Surgery on Outcomes After Spine Surgery: A Systematic Review and meta-Analysis

Author:

Alhammoud Abduljabbar1ORCID,Dalal Sidhant2,Sheha Evan D.23,Habibullah Nilofer Khan4,Moghamis Isam Sami5,Virk Sohrab2,Gang Catherine Himo1,Qureshi Sheeraz A23ORCID

Affiliation:

1. SUNY UPSTATE Medical University, Syracuse, New York, NY, USA

2. Hospital for Special Surgery, New York, NY, USA

3. Weill Cornell Medical College, New York, NY, USA

4. American International Medical University, St. Lucia, West Indies

5. Hamad Medical Corporation, Doha, Qatar

Abstract

Study design Systematic review and meta-analysis. Objective To compare outcomes and complication rates in patients undergoing bariatric surgery (BS) prior to spine surgery. Methods A systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines comparing the outcomes of spine surgery between subjects with prior bariatric surgery to those who were considered obese with no prior bariatric surgery. Results A total of 183, 570 patients were included in the 4 studies meeting inclusion criteria. The mean patient age was 52.9 years, and the majority were female (68%). The two groups consisted of a total of 36, 876 patients with prior BS and 146, 694 obese patients without prior BS. The overall rate of complications in the prior BS group was 6.4% (4.5%–38.7%) compared to 11.9% (11.2%–55.4%) in the non-prior BS obese group with a statistically significant difference between the two groups. The prior BS group had lower rates of renal, neurological, and thromboembolic complications, with a lower mortality and readmission rate. In a subgroup undergoing cervical spine surgery, patients with prior BS had fewer cardiac, GI, and total complications. For patients undergoing thoracolumbar spine surgery, patients with prior BS had fewer thromboembolic and total complications. Conclusion Patients undergoing bariatric surgery prior to spine surgery had fewer renal, neurological, and thromboembolic complications as well as a decreased mortality and readmission rate.

Funder

National Center For Advancing Translational Science of the National Institute of Health

Publisher

SAGE Publications

Subject

Neurology (clinical),Orthopedics and Sports Medicine,Surgery

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