Improvement in Back Pain Following Abdominoplasty: Results of a 10-Year, Single-Surgeon Series

Abstract

Background Few studies have examined the impact of abdominoplasty on chronic back pain. Objectives The aim of this study was to test our hypothesis that patients undergoing abdominoplasty with anterior abdominal wall plication will show significant improvements in back pain and physical function compared with those without plication. Methods We utilized Current Procedural Terminology (CPT) codes to identify patients who underwent abdominoplasty with the senior author over a 10-year period. The Oswestry Disability Index (ODI) and the RAND 36-Item Short-Form Health Survey (SF-36) were administered. All patients indicating preoperative back pain were reviewed. Results Of 338 patients, 143 surveys (42.3%) were returned; 51 patients (35.7%; n = 28 aesthetic, n = 23 massive weight loss) reported preoperative back pain on the ODI. Paired t tests compared overall and strata-specific changes in ODI and SF-36 pre- and postsurgery. Multivariable linear regression models were fitted to model relations between scores and plication, adjusting for presurgery scores and patient variables. There were significant improvements in overall patient cohort in ODI (–15.14), SF-36 physical function (19.92), and pain (17.42) (P < 0.001), as well as when patients were stratified by plication status. However, outcomes between those with plication and those without were not significantly different. Conclusions Abdominoplasty with and without anterior abdominal wall plication significantly improves ODI and SF-36 scores relating to physical function and pain, in both aesthetic and massive weight loss patients. Outcomes did not differ based on plication status. All patients with preoperative back pain showed improvement regardless of operation performed, suggesting that abdominoplasty with or without abdominal wall plication improves chronic back pain in this patient population. Level of Evidence: 4

Back Pain According to Roland-Morris Low Back Pain Scale After Abdominoplasty With Plication

“…Diastasis recti is unfortunately common, with up to 15% of women experiencing diastasis recti after pregnancy. 9,10 Obesity is also a major risk factor for the development of diastasis. In fact, middle-aged men living with obesity are the second most common group of rectus diastasis patients.…”

“…Diastasis recti is unfortunately common, with up to 15% of women experiencing diastasis recti after pregnancy 9,10 . Obesity is also a major risk factor for the development of diastasis.…”

Abdominoplasty and Lower Body Lift Surgery Improves the Quality of Life after Massive Weight Loss: A Prospective Multicenter Study

“…The abdomen is one of the most troublesome locations, and some teams have already shown an impact of BCS on mental health 4 and back pain. 5 However, the question of overall and sexual QoL remains little explored. Abdominoplasty and lower body lift are the two current techniques used to reconstruct truncal deformities following MWL.…”