June 2021 Vol. 9 No.6

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Original Research Article

Impact of Obesity on the Orthopedic Spine Surgical Procedural Time and Hospital Stay: King Saud University Hospital Experience

Waleed Mohammad Awwad¹, Rohail Mumtaz^1*, Omar Alsultan¹, Sultan Ayoub Meo², Khalid Alsaleh¹, Abdulmajeed Alzekri¹, Abdulaziz Almaawi¹

¹Department of orthopedic surgery, King Saud University, Riyadh, Kingdom of Saudi Arabia
²Department of Physiology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia

*Corresponding Author's E-mail: dr.rohail@gmail.com / rmumtaz@ksu.edu.sa
Mob: +966-550426278

Received: 12 May 2021  I  Accepted: 18 June 2021  I  Published: 25 June 2021  I  Article ID: MRJMMS21048
Copyright © 2021 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0.

Abstract

Obesity poses one of the most serious public health challenges of the 21st century. The present study aimed to assess the surgery duration, postoperative complications, and length of hospital stay. The present retrospective cross-sectional study was conducted in the Department of Orthopedics and Spine Division, College of Medicine, King Khalid University Hospital, during the period January 2016 to July 2019. This study evaluated the data of patients with spondylolisthesis who underwent transforaminal lumbar interbody fusion (TLIF) at this tertiary hospital. We recruited adult patients with grade II degenerative spondylolisthesis who were admitted electively for transforaminal lumbar interbody fusion (TLIF). There were Sixty-nine patients included, of whom thirty eight were obese. The encountered complications were wound infection and deep venous thrombosis in two and three patients respectively. Seven patients had suboptimal wound healing. None of the patients developed pulmonary embolism or deep infection. Moreover, two patients needed readmission and reoperation with wound irrigation, debridement, and closure. The surgery duration was the only dependent variable that showed a substantial increase in the odds ratio among obese patients. The surgery duration was significantly longer when operating on obese patients. However, obesity was not associated with higher rates of postoperative complications or increased hospital stay.


Keywords: Obesity, Hospital stay, Spondylolisthesis, Transforaminal interbody fusion, Spine Surgery