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- Title
The Impact Of Obesity On Young Individuals Suffering From Lumbar Disc Herniation: A Retrospective Analysis Of 97 Cases.
- Authors
Lener, Sara; Hartmann, Sebastian; Thomé, Claudius; Tschugg, Anja
- Abstract
Background: Obesity is associated to the traits of modern Western affluent life, so that the prevalence might rise in the future decades, especially in young adults. Currently, 3.8 - 7.1% of young adults in middle Europe are obese and the literature provides evidence that there is an impact on spinal disease. Due to the lack of data regarding lumbar disc herniation, the purpose of this study was to detect the impact of obesity in young adults suffering from herniated lumbar disc . Methods: Ninety-seven patients aged between 17 and 25 years were included in this retrospective analysis. Patients were categorized into two groups according to their Body Mass Index, group obese (O, ≥ 30kg/m2) and group non-obese (NO, < 30 kg/m2). The data evaluation included patient's characteristics, treatment details and treatment outcomes. Results: Group NO showed no significant differences in recovery from motor deficits (p = 0.067) or pain (p = 0.074) in comparison to group O. Obesity and smoking showed no differences in the occurrence of motor deficits at diagnosis (66.7% vs. 37.0%, p = 0.063) but showed a significant impact at the third postoperative day (50% vs. 17.3%, p = 0.015) and at discharge (41.7% vs. 14.8%, p = 0.025). After 6 weeks, no significant differences were detected. Conclusion: The negative impact of obesity and on the incidence, but not precisely on recovery, of lumbar disc herniation could be demonstrated for individuals aged 25 or younger, unless they were smokers. Even though outcome is comparable at 6 weeks follow up, long-term consequences have not been investigated. Therefore, prospective clinical trials will be mandatory.
- Publication
Global Spine Journal, 2018, Vol 8, p260S
- ISSN
2192-5682
- Publication type
Article
- DOI
10.1177/2192568218771072