2019
DOI: 10.1016/j.jocn.2019.03.015
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Sarcopenia does not affect clinical outcomes following lumbar fusion

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Cited by 26 publications
(38 citation statements)
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“…Bokshan et al 11 retrospectively reviewed 55 patients who underwent thoracolumbar spine surgery for a variety of spinal pathologies and found that patients with sarcopenia had a significantly increased length of hospital stay (8.1 vs 4.7 days, P ¼ .02), rate of in-hospital complications (1.2 vs 0.4, P ¼ .02), and need for discharge to a rehabilitation or nursing facility (81.2% vs 43.3%, P ¼ .006). Though other studies have provided contradictory evidence, 13,14 the current literature suggests that sarcopenia both portends a greater likelihood of degenerative spinal pathology and has a negative effect on clinical outcomes following lumbar spine surgery. 21 Though the impact of sarcopenia has been extensively investigated in the lumbar spine, there is a dearth of literature investigating its effect on patient-reported outcomes following cervical spine surgery.…”
Section: Discussionmentioning
confidence: 95%
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“…Bokshan et al 11 retrospectively reviewed 55 patients who underwent thoracolumbar spine surgery for a variety of spinal pathologies and found that patients with sarcopenia had a significantly increased length of hospital stay (8.1 vs 4.7 days, P ¼ .02), rate of in-hospital complications (1.2 vs 0.4, P ¼ .02), and need for discharge to a rehabilitation or nursing facility (81.2% vs 43.3%, P ¼ .006). Though other studies have provided contradictory evidence, 13,14 the current literature suggests that sarcopenia both portends a greater likelihood of degenerative spinal pathology and has a negative effect on clinical outcomes following lumbar spine surgery. 21 Though the impact of sarcopenia has been extensively investigated in the lumbar spine, there is a dearth of literature investigating its effect on patient-reported outcomes following cervical spine surgery.…”
Section: Discussionmentioning
confidence: 95%
“…A number of studies have investigated the relationship between paraspinal sarcopenia and postoperative outcomes following lumbar spine surgery and, considered collectively, suggest a possible correlation between sarcopenia and worse patient outcomes. [11][12][13][14][15][16][17] At present, only 1 study has investigated the relationship between sarcopenia and outcomes following cervical laminoplasty, but this study classified patients as sarcopenic based on appendicular skeletal muscle. 18 Though paraspinal muscle degeneration can be assumed using proxy measurements of peripheral strength such as the timed-upand-go (TUG) test and hand grip strength, more precise characterization of paraspinal degeneration is quantified by measuring cross-sectional surface area (CSA) and degree of fat infiltration on advanced imaging.…”
Section: Introductionmentioning
confidence: 99%
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“…Although increased LOS after surgery was observed in the low HGS group, long-term surgical outcomes were similar for most patients, regardless of preoperative HGS. McKenzie et al showed that sarcopenia does not affect long-term clinical outcomes, including functional improvement, after lumbar fusion [ 32 ]. In addition, Inose et al reported that lumbar surgery was equally effective in both sarcopenia and nonsarcopenia patients in terms of pain relief [ 33 ].…”
Section: Discussionmentioning
confidence: 99%
“…However, several other studies have come to the opposite conclusion, which found that in the elderly population of non-complex lumbar surgery due to degenerative changes, sarcopenia could not predict adverse events, in-hospital mortality, length of stay and postoperative complications [12,13]. In addition, it has been reported that in patients with lumbar fusion, there is no significant difference in postoperative clinical outcomes between sarcopenia and nonsarcopenia groups [14].…”
Section: Introductionmentioning
confidence: 97%