Does adolescent obesity affect surgical presentation and radiographic outcome for patients with adolescent idiopathic scoliosis?. Issue 1 (January 2017)

• Record Type: Journal Article
• Authors: Bjerke, Benjamin T.; Saiyed, Rehan; Cheung, Zoe B.; Uppstrom, Tyler J.; Shifflett, Grant D.; Cunningham, Matthew E.
• Is Part Of: Journal of pediatric orthopedics. Volume 26:Issue 1(2017)
• Publication Date: 2017-01
• Subjects: adolescent idiopathic scoliosis -- BMI -- intraoperative blood loss -- obesity -- thoracic kyphosis; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000351
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : The purpose of this study was to test a hypothesis that overweight patients with adolescent idiopathic scoliosis present with larger curves and achieve less surgical correction than do healthy weight counterparts. A total of 251 individuals were grouped by BMI into overweight (BMI% ≥85) and healthy weight (BMI% <85) groups. Overweight patients demonstrated significantly larger intraoperative blood loss ( P =0.041), although there was no significant difference in the number of intraoperative transfusions. Major curves and surgical correction were similar between the two groups. A greater postoperative thoracic kyphosis at latest follow-up may suggest a worsening sagittal profile in these individuals postoperatively.