
Spine
Higher complication rates and worse outcome following spinal surgery in obese individuals
Clin Orthop Relat Res. 2014 Mar;472(3):968-75. doi: 10.1007/s11999-013-3346-332 studies (8 prospective, 24 retrospective; n=97,326) were included in this meta-analysis examining the effect of obesity on complication rates, mortality, revision rates, operative time and blood loss. Meta-analysis of level I/II studies revealed higher surgical site infection rate, higher risk of venous thromboembolism, higher revision rate, longer operative times, and greater postoperative blood loss with obese individuals compared to their nonobese counterparts. Mortality rates were comparable.
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