caa a22 4500 445832207 CHVBK 20180317145319.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-011-1689-6 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1689-6 Perioperative morbidity and complications in minimal access surgery techniques in obese patients with degenerative lumbar disease [Elektronische Daten] [Wolfgang Senker, Christian Meznik, Alexander Avian, Andrea Berghold] The medical profession is increasingly confronted with the epidemic phenomenon of obesity. Its impact on spine surgery is not quite clear. Published data concerning the use of minimally invasive surgery (MIS) in the spine among obese patients is scarce. The purpose of the present retrospective study was to evaluate perioperative as well as postoperative complication rates in MIS fusion of the lumbar spine in obese, overweight and normal patients classified according to their body mass index. Lumbar MIS fusion was performed by means of TLIF procedures and/or posterolateral fusion alone. A laminotomy was performed in patients with spinal stenosis. Of 72 patients, 39 underwent additional laminotomy for spinal stenosis. No differences were registered in respect of the numbers of fused segments or cages. Any harmful event occurring peri- or postoperatively was noted and included in the statistical analysis. No infection at the site of surgery or severe wound healing disorder was encountered. We registered no difference in blood loss, drainage, or the length of the hospital stay between the three BMI groups. We also observed no difference in complication rates between the three groups. This study confirms the low soft tissue damage of minimal access surgery techniques, which is an important type of surgery in obese patients. The smaller approach helps to minimize infections and wound healing disorders. Moreover, deeper regions of wounds are clearly visualized with the aid of tubular retractors. Springer-Verlag, 2011 Minimally invasive spinal surgery nationallicence Degenerative lumbar disease nationallicence Obesity nationallicence Complications nationallicence Senker Wolfgang Department of Orthopedic Surgery, General Hospital Amstetten, Krankenhausstrasse 21, 3300, Amstetten, Austria aut Meznik Christian Department of Orthopedic Surgery, General Hospital Amstetten, Krankenhausstrasse 21, 3300, Amstetten, Austria aut Avian Alexander Institute for Medical Informatics, Statistics and Documentation, Graz General Hospital and University Clinics, Medical University of Graz, Auenbruggerplatz 2, 8036, Graz, Austria aut Berghold Andrea Institute for Medical Informatics, Statistics and Documentation, Graz General Hospital and University Clinics, Medical University of Graz, Auenbruggerplatz 2, 8036, Graz, Austria aut European Spine Journal Springer-Verlag 20/7(2011-07-01), 1182-1187 0940-6719 20:7<1182 2011 20 586 https://doi.org/10.1007/s00586-011-1689-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1689-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Senker Wolfgang Department of Orthopedic Surgery, General Hospital Amstetten, Krankenhausstrasse 21, 3300, Amstetten, Austria aut NATIONALLICENCE 700 1- Meznik Christian Department of Orthopedic Surgery, General Hospital Amstetten, Krankenhausstrasse 21, 3300, Amstetten, Austria aut NATIONALLICENCE 700 1- Avian Alexander Institute for Medical Informatics, Statistics and Documentation, Graz General Hospital and University Clinics, Medical University of Graz, Auenbruggerplatz 2, 8036, Graz, Austria aut NATIONALLICENCE 700 1- Berghold Andrea Institute for Medical Informatics, Statistics and Documentation, Graz General Hospital and University Clinics, Medical University of Graz, Auenbruggerplatz 2, 8036, Graz, Austria aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/7(2011-07-01), 1182-1187 0940-6719 20:7<1182 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer