Association between postoperative weight gain and recurrent low back pain after transforaminal lumbar interbody fusion
10.3969/j.issn.1005-6483.20240047
- VernacularTitle:术后体重增加与经椎间孔腰椎融合术后复发性腰痛的相关性研究
- Author:
Yiqi DENG
1
;
Shidong ZOU
;
Qingyu ZHANG
;
Mingxing WANG
Author Information
1. 274300 山东省单县中心医院骨外科
- Keywords:
transforaminal lumbar interbody fusion;
recurrent low back pain;
postoperative weight gain;
risk factor
- From:
Journal of Clinical Surgery
2024;32(11):1191-1194
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the association between recurrent low back pain(RLBP)and postoperative weight gain(PWG)after recurrent low back pain(TLIF)at three-month follow-up.Methods We analyzed 254 patients at three-month after TLIF from September 2020 to September 2022.Data such as age,gender,height and weight before surgery,smoking status,Pfirrmann grade of preoperative intervertebral disc degeneration,visual analogue scale(VAS)before surgery and 7 days,1 month and 2 months after surgery were collected.RLBP was defined for patients with low back pain with VAS score ≤3 on the 7th,1st and 2nd month after surgery,but ≥4 on the 3rd month after surgery.Three months after surgery,PWG was divided into 4 groups:＜0 kg group,0～＜5 kg group,5～＜10 kg group,and ≥10 kg group.Multivariate Logistic regression analysis of odds ratio(ORs).Results The prevalence of persistent RLBP was 18.5％(n=47).Compared to patients with a PWG of＜0 kg,patients with a PWG of 5 kg to＜10 kg and ≥ 10 kg had a higher prevalence of RLBP(OR=2.48 and 4.19,respectively);the difference was statistically significant(P＜0.05).However,no significant difference was found for patients with a PWG of 0 kg to＜5 kg.In addition,Logistic regression analysis also showed female,higher preoperative body mass index(BMI)and higher preoperative Pfirrmann grade were other three independent risk factors of RLBP.Conclusion PWG in TLIF patients is one of the independent risk factors for RLBP.Postoperative weight intervention for patients can reduce the incidence of RLBP and improve patient satisfaction with the surgery.
