Prospective assessment of axial back pain symptoms before and after bariatric weight reduction surgery

Khoueir, Paul; Black, Mary Helen; Crookes, Peter F.; Kaufman, Howard S.; Katkhouda, Namir; Wang, Michael Y.

doi:10.1016/j.spinee.2009.02.003

Cited by 66 publications

(51 citation statements)

References 34 publications

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“…A similar prospective study in 20 patients indicated that the average weight loss 3-months after surgery was 24 kg, and that the Numeric Pain Rating Scale demonstrated a significant decrease in LBP [41]. Another prospective assessment of 38 patients showed an average decrease in mean weight of 39 kg at 12-months post-operation, with a statistically significant mean 44 % decrease in axial LBP on the Visual Analogue Scale [42].…”

Section: Relationship Between Obesity and Low Back Painmentioning

confidence: 88%

Obesity and Low Back Pain: Is There a Weight of Evidence to Support a Positive Relationship?

et al. 2013

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Obesity and low back pain (LBP) are responsible for significant morbidities and financial expenditure. Numerous studies have demonstrated a positive relationship between obesity and LBP, but a concurrent investigation of causality is often omitted. Spinal clinicians routinely prescribe exercise and weight loss for obese patients with LBP, despite a paucity of literature evaluating why obesity might cause LBP or how exercise and weight loss might be suitable treatments for LBP. Etiologies have tended to focus on the biomechanical effects of obesity that lead to excessive loading and degeneration of the lumbar spine. However, recent evidence suggests that systemic inflammation associated with obesity may also be an important contributor to LBP. In this article, the latest evidence investigating the relationship between obesity and LBP is reviewed, an overview of the impact of exercise and weight loss on LBP is provided, and proposed mechanisms connecting obesity, systemic inflammation, and LBP are outlined.

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Section: Relationship Between Obesity and Low Back Painmentioning

confidence: 88%

Obesity and Low Back Pain: Is There a Weight of Evidence to Support a Positive Relationship?

et al. 2013

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“…Recently, three separate small case-series of back pain patients have found that post bariatric surgery with resulting rapid weight loss, obese patients have less BP [19][20][21] and reduced spine related disability. [19,20] Surgical weight loss represents an extreme form of weight loss and is a treatment that may not be widely available but the results support the idea that weight loss could lead to decreased pain and this requires further investigation.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Body Mass Index (BMI) and Back or Leg Pain in Patients With Spinal Conditions

Segar

Urban

Fairbank

et al. 2016

Spine

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms Spine (Phila Pa 1976) The Association between Body Mass Index (BMI) * If the article is to be published pursuant to the "Green" route of Open Access, both the RCUK and the Wellcome Trust require that WKH make the article freely available within six months pursuant to the AttributionNonCommerical 4.0 Creative Commons License, currently found at http://creativecommons.org/licenses/bync/4.0/legalcode (the "CC BY-NC License"). The CC BY-NC License allows others to remix, tweak, and build upon the article noncommercially, and although their new works must also acknowledge the authors for the original creation and be non-commercial, they don't have to license their derivative works on the same terms.As a service to our authors, WKH will identify the National Library of Medicine (NLM) articles that require deposit pursuant to the RCUK and Wellcome Trust policies described in this section. This Copyright Transfer Agreement provides the mechanism for identifying such articles. Powered by Editorial Manager® and ProduXion Manager® from Aries Systems CorporationWKH will transmit the final peer-reviewed manuscript of an article based on research funded in whole or in part by either RCUK or the Wellcome Trust to Pub Med Central.Upon NIH request, it remains the legal responsibility of the author to confirm with NIH the provenance of his/her manuscript for purposes of deposit. Author will not deposit articles him/herself. Author will not alter the final peer-reviewed manuscript already transmitted to NIH.With respect to the "Green" route of Open Access, author will not authorize the display of the final peer-reviewed manuscript prior to 6 months following publication of the final article.Authors of articles that have been funded from grants from the RCUK or the Wellcome Trust are required to sign the WKH Open Access License Agreement prior to publication of the applicable article. Please contact the Editorial Office of the applicable journal to receive the Open Access License Agreement that is to be signed in connection with the publication of the article.I am the person in question for this submission or otherwise have approval to complete this agreement.I agree CME/CE Disclosure Each author must identify and disclose any financial associations involving a spouse, partner or children by completing the Family Disclosure question below, and whether any off-label uses or unapproved drugs or devices are discussed in his/her manuscript by completing the Off-Label Use/Unapproved Drugs or Products question below. In the event that the Work is published as a continuing education or continuing medical education article, this information will be provided to the accrediting body and may be included in the published article. When applicable, articles accepted for publication may need to comply with additiona...

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“…Recent reports suggested that physical exercises to increase trunk muscle strength and/or stretching exercises [5,22] and appropriate body weight control [9,23] were effective for chronic LBP and for improving quality of life. There is no evidence that these interventions are able to stabilize segmental instability and to prevent further aggressive spondylolisthesis, and it will take long time to prove this hypothesis.…”

Section: Discussionmentioning

confidence: 99%

Grade three disc degeneration is a critical stage for anterior spondylolisthesis in lumbar spine

et al. 2012

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Introduction Little is known about when and how progressive spondylolisthesis occurs. In this report segmental motion related to age and disc degeneration at L4/5 disc was investigated. Materials and methods 637 patients with low back and/or leg pain underwent radiologic and MRI examinations simultaneously. Because 190 patients with conditions which might impede accurate measurement were excluded, 447 patients, comprising 268 men and 179 women, were included; age range, was 10-86 (mean: 53) years. Three radiologic parameters slip in neutral position (mm), sagittal translation (mm), and segmental angulation (degrees) were examined at the L4/5 segment. On T2-weighted MRI, severity of disc degeneration at L4/5 was classified by Pfirrmann's criteria, grade 1-5. Results Results showed stage of disc degeneration that progressed according to aging with significant differences except for between grades 4 and 5. Amount of anterior slip was small among grades 1 to 3; however, it greatly increased between grades 3 and 4 and between grades 4 and 5, suggesting that grade 3 disc degeneration has a potential risk of future progression of anterior slip. This finding may also suggest that once significant slip occurs, it will progress to the final grade. Furthermore, the grade 3 degeneration group exhibited large amounts of motion in both angulation and translation, suggesting it was the most unstable group. Conclusion Our results with radiography and MRI indicate that grade 3 disc degeneration is a critical stage for the progression of lumbar spondylolisthesis at L4/5 segment.

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Prospective assessment of axial back pain symptoms before and after bariatric weight reduction surgery

Cited by 66 publications

References 34 publications

Obesity and Low Back Pain: Is There a Weight of Evidence to Support a Positive Relationship?

Obesity and Low Back Pain: Is There a Weight of Evidence to Support a Positive Relationship?

The Association Between Body Mass Index (BMI) and Back or Leg Pain in Patients With Spinal Conditions

Grade three disc degeneration is a critical stage for anterior spondylolisthesis in lumbar spine

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