Low BMI Tied to Better Surgical Scoliosis Curve Correction

Also linked to preoperative coagulation abnormality, asthma incidence, and post-op ileus

TUESDAY, Jan. 28, 2014 (HealthDay News) -- For patients undergoing spinal fusion for adolescent idiopathic scoliosis (AIS), low body mass index (BMI) is associated with greater percent correction of thoracic curves, according to a study published in the Jan. 15 issue of Spine.

Roslyn C. Tarrant, Ph.D., from Our Lady's Children's Hospital in Dublin, and colleagues analyzed data from 77 patients (mean age, 15.04 years) with AIS who underwent one-stage posterior spinal fusion and correction at two tertiary centers between January 2010 and April 2012. Using the British 1990 growth reference data, preoperative weight, corrected height, and BMI values were converted to z scores.

The researchers found that 27.3 percent of participants had a low preoperative BMI, and 6.5 percent were considered severely thin. There was a greater percent correction of thoracic curves associated with lower BMI and weight z scores (both P < 0.05). Low BMI correlated significantly with preoperative asthma incidence (adjusted odds ratio [aOR], 5.33; P = 0.023); prolonged prothrombin time (aOR, 4.53;P = 0.027); and postoperative ileus development (aOR, 11.96, P = 0.019). The BMI groups did not differ significantly with respect to preoperative Cobb angle, estimated intraoperative blood loss, and length of hospital stay.

"Low BMI was independently associated with preoperative asthma incidence, prolonged preoperative prothrombin time, as well as postoperative ileus, a finding that warrants further analysis in future studies," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2014 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Abdominal Pain: An Approach to a Challenging Diagnosis
AACN Advanced Critical Care, July/September 2014
Free access will expire on October 13, 2014.


HIPAA Compliance Practice Tips
Professional Case Management, July/August 2014
Free access will expire on September 29, 2014.


Follow the leader: How does “followership” influence nurse burnout?
Nursing Management, August 2014
Free access will expire on September 29, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events