Microsurgical discectomy in the lumbar spine: efficiency, pain syndrome and obesity
Objective. To analyze the effectiveness and features of microsurgical discectomy of herniated intervertebral discs in patients with exces- sive body weight. Material and Methods. A total of 104 patients (37 men and 67 women) aged 24–58 years with intervertebral disc hernias in the lumbar spine a...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2018-03-01
|
| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/1421/1405 |
| _version_ | 1797722028416958464 |
|---|---|
| author | Mark M. Alexanyan Alexey L. Kheilo Karen P. Mikaelian Eduard G. Gemdzhian Alexandr G. Aganesov |
| author_facet | Mark M. Alexanyan Alexey L. Kheilo Karen P. Mikaelian Eduard G. Gemdzhian Alexandr G. Aganesov |
| author_sort | Mark M. Alexanyan |
| collection | DOAJ |
| description | Objective. To analyze the effectiveness and features of microsurgical discectomy of herniated intervertebral discs in patients with exces-
sive body weight.
Material and Methods. A total of 104 patients (37 men and 67 women) aged 24–58 years with intervertebral disc hernias in the lumbar
spine accompanied by compression of neural structures and radicular pain syndrome were operated on. The study group consisted of 48
obese patients who underwent microdiscectomy at the lumbar level. The control group included 56 non-obese patients operated in the
same way. The level of the pain syndrome was assessed using the VAS and Oswestry’s functional activity questionnaire.
Results. Preoperative pain intensity was slightly higher in patients with obesity than in those with normal body weight. Six weeks after
the microdiscectomy, the radicular pain syndrome was arrested. The clinical effect of microdiscectomy persisted after 6 and 12 months. By
the end of the follow-up period, some patients with excessive body weight had a tendency to have pain in the back and lower extremities.
Also, patients with obesity had slightly greater intraoperative blood loss, the incidence of superficial infectious complications, the dura-
tion of the operation, and the length of hospital stay.
Conclusion. The overweight factor should be considered when planning anesthesia and microsurgical discectomy in the lumbar spine. |
| first_indexed | 2024-03-12T09:41:37Z |
| format | Article |
| id | doaj.art-fbdce7d485134737a02ed5c7d78b4675 |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T09:41:37Z |
| publishDate | 2018-03-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-fbdce7d485134737a02ed5c7d78b46752023-09-02T13:12:52ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972018-03-01151424810.14531/ss2018.1.42-48Microsurgical discectomy in the lumbar spine: efficiency, pain syndrome and obesityMark M. Alexanyan0Alexey L. Kheilo1Karen P. Mikaelian2Eduard G. Gemdzhian3Alexandr G. Aganesov4B.V. Petrovsky Russian Research Surgery Center, Moscow, RussiaB.V. Petrovsky Russian Research Surgery Center, Moscow, RussiaB.V. Petrovsky Russian Research Surgery Center, Moscow, RussiaB.V. Petrovsky Russian Research Surgery Center, Moscow, RussiaB.V. Petrovsky Russian Research Surgery Center, Moscow, RussiaObjective. To analyze the effectiveness and features of microsurgical discectomy of herniated intervertebral discs in patients with exces- sive body weight. Material and Methods. A total of 104 patients (37 men and 67 women) aged 24–58 years with intervertebral disc hernias in the lumbar spine accompanied by compression of neural structures and radicular pain syndrome were operated on. The study group consisted of 48 obese patients who underwent microdiscectomy at the lumbar level. The control group included 56 non-obese patients operated in the same way. The level of the pain syndrome was assessed using the VAS and Oswestry’s functional activity questionnaire. Results. Preoperative pain intensity was slightly higher in patients with obesity than in those with normal body weight. Six weeks after the microdiscectomy, the radicular pain syndrome was arrested. The clinical effect of microdiscectomy persisted after 6 and 12 months. By the end of the follow-up period, some patients with excessive body weight had a tendency to have pain in the back and lower extremities. Also, patients with obesity had slightly greater intraoperative blood loss, the incidence of superficial infectious complications, the dura- tion of the operation, and the length of hospital stay. Conclusion. The overweight factor should be considered when planning anesthesia and microsurgical discectomy in the lumbar spine.https://www.spinesurgery.ru/jour/article/view/1421/1405lumbar painlumbar spine microsurgical discectomyobesityinfectious complicationspain syndrome |
| spellingShingle | Mark M. Alexanyan Alexey L. Kheilo Karen P. Mikaelian Eduard G. Gemdzhian Alexandr G. Aganesov Microsurgical discectomy in the lumbar spine: efficiency, pain syndrome and obesity Хирургия позвоночника lumbar pain lumbar spine microsurgical discectomy obesity infectious complications pain syndrome |
| title | Microsurgical discectomy in the lumbar spine: efficiency, pain syndrome and obesity |
| title_full | Microsurgical discectomy in the lumbar spine: efficiency, pain syndrome and obesity |
| title_fullStr | Microsurgical discectomy in the lumbar spine: efficiency, pain syndrome and obesity |
| title_full_unstemmed | Microsurgical discectomy in the lumbar spine: efficiency, pain syndrome and obesity |
| title_short | Microsurgical discectomy in the lumbar spine: efficiency, pain syndrome and obesity |
| title_sort | microsurgical discectomy in the lumbar spine efficiency pain syndrome and obesity |
| topic | lumbar pain lumbar spine microsurgical discectomy obesity infectious complications pain syndrome |
| url | https://www.spinesurgery.ru/jour/article/view/1421/1405 |
| work_keys_str_mv | AT markmalexanyan microsurgicaldiscectomyinthelumbarspineefficiencypainsyndromeandobesity AT alexeylkheilo microsurgicaldiscectomyinthelumbarspineefficiencypainsyndromeandobesity AT karenpmikaelian microsurgicaldiscectomyinthelumbarspineefficiencypainsyndromeandobesity AT eduardggemdzhian microsurgicaldiscectomyinthelumbarspineefficiencypainsyndromeandobesity AT alexandrgaganesov microsurgicaldiscectomyinthelumbarspineefficiencypainsyndromeandobesity |