The impact of sarcopenia on the efficacy of posterior surgical treatment for degenerative lumbar scoliosis
Abstract Purpose This study aimed to investigate the impact of sarcopenia on the clinical outcomes of patients undergoing posterior surgical treatment for degenerative lumbar scoliosis. Methods A retrospective analysis was conducted on clinical data from 76 patients with degenerative lumbar scoliosi...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-08-01
|
| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-025-03075-5 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849237983230689280 |
|---|---|
| author | Juyi Lai Xinbei Li Huangsheng Tan Hualong Feng Zhi Ming Lan Zhitao Sun Jian Wang Yuanfei Fu Shenghua He |
| author_facet | Juyi Lai Xinbei Li Huangsheng Tan Hualong Feng Zhi Ming Lan Zhitao Sun Jian Wang Yuanfei Fu Shenghua He |
| author_sort | Juyi Lai |
| collection | DOAJ |
| description | Abstract Purpose This study aimed to investigate the impact of sarcopenia on the clinical outcomes of patients undergoing posterior surgical treatment for degenerative lumbar scoliosis. Methods A retrospective analysis was conducted on clinical data from 76 patients with degenerative lumbar scoliosis, who meet the selection criteria between January 2019 and December 2023. The patients were categorized into a sarcopenia group (31 cases) and a non-sarcopenia group (45 cases) based on the diagnostic criteria of the European Working Group on Sarcopenia in Older People (EWGSOP). Operative time, intraoperative blood loss, hospital stay duration, incision length, incision healing time, and complications were compared between the sarcopenia and non-sarcopenia groups. The improvement in clinical symptoms was evaluated using the Visual Analog Scale (VAS) and the Oswestry Disability Index (ODI). To assess the scoliosis correction effect, measurements were taken for the coronal Cobb angle (CCA), C7 plumb line-center sacral vertical line (C7-CSVL), lumbar lordosis (LL), and C7 plumb line-sagittal vertical axis (C7-SVA). Results All patients successfully underwent the surgical procedure. The average operation time in the sarcopenia group was 256.27 ± 28.09 (180–350) min, which was not significantly different from the 249.82 ± 24.35(185–320) min in the non-sarcopenia group (p > 0.05). The average intraoperative blood loss in the sarcopenia group was 786.25 ± 38.19 (420–1365) mL, compared to 810.62 ± 45.47 (456–1780) mL in the non-sarcopenia group (p > 0.05). The average incision length in the sarcopenia group was 12.57 ± 1.29 (10-16)cm, compared to 12.83 ± 2.03 (9-20)cm in the non-sarcopenia group (p > 0.05). The incision healing time in the sarcopenia group required an average of 15.72 ± 1.74 (12-25)d, which longer than the 10.18 ± 1.05 (10–14 ) d in the non-sarcopenia group (p < 0.05). The average hospital stay in the sarcopenia group was 13.46 ± 1.37 (8-26) d, which was also longer than the 8.33 ± 0.92 (6-12)d in the non-sarcopenia group (p < 0.05). The complication rate in the sarcopenia group was 29.03% (9/31), which was higher than the 13.33% (6/45) in the non-sarcopenia group (p < 0.05). The VAS and ODI scores of both groups at the last follow-up were significantly improved compared to preoperative levels (p < 0.05). At the last follow-up, the ODI in the non-sarcopenia group was better than that in the sarcopenia group (p < 0.05). There was no statistically significant difference between the two groups in terms of VAS scores at the last follow-up (p > 0.05). Both groups demonstrated significant improvements in CCA, C7-CSVL, LL, and C7-SVA compared to preoperative levels (p < 0.05). However, no statistically significant differences were observed between the groups at the final follow-up (p > 0.05). Conclusion Sarcopenia does not significantly affect the radiological outcomes of patients with degenerative lumbar scoliosis undergoing posterior surgical procedures, ODI was better in the non-sarcopenia group. In addition, patients with sarcopenia typically require a longer postoperative recovery period and are more susceptible to various complications compared to those without sarcopenia. |
| format | Article |
| id | doaj-art-67b97795ab7d45eea8718de5f7bbb0a5 |
| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-67b97795ab7d45eea8718de5f7bbb0a52025-08-20T04:01:47ZengBMCBMC Surgery1471-24822025-08-012511910.1186/s12893-025-03075-5The impact of sarcopenia on the efficacy of posterior surgical treatment for degenerative lumbar scoliosisJuyi Lai0Xinbei Li1Huangsheng Tan2Hualong Feng3Zhi Ming Lan4Zhitao Sun5Jian Wang6Yuanfei Fu7Shenghua He8Orthopedics department, Shenzhen Traditional Chinese Medicine Hospital (The fourth Clinical Medical College of Guangzhou University of Chinese Medicine)Radiography department, Shenzhen Traditional Chinese Medicine Hospital (The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine)Orthopedics department, Shenzhen Traditional Chinese Medicine Hospital (The fourth Clinical Medical College of Guangzhou University of Chinese Medicine)Orthopedics department, Shenzhen Traditional Chinese Medicine Hospital (The fourth Clinical Medical College of Guangzhou University of Chinese Medicine)Orthopedics department, Shenzhen Traditional Chinese Medicine Hospital (The fourth Clinical Medical College of Guangzhou University of Chinese Medicine)Orthopedics department, Shenzhen Traditional Chinese Medicine Hospital (The fourth Clinical Medical College of Guangzhou University of Chinese Medicine)Orthopedics department, Shenzhen Traditional Chinese Medicine Hospital (The fourth Clinical Medical College of Guangzhou University of Chinese Medicine)Orthopedics department, Shenzhen Traditional Chinese Medicine Hospital (The fourth Clinical Medical College of Guangzhou University of Chinese Medicine)Orthopedics department, Shenzhen Traditional Chinese Medicine Hospital (The fourth Clinical Medical College of Guangzhou University of Chinese Medicine)Abstract Purpose This study aimed to investigate the impact of sarcopenia on the clinical outcomes of patients undergoing posterior surgical treatment for degenerative lumbar scoliosis. Methods A retrospective analysis was conducted on clinical data from 76 patients with degenerative lumbar scoliosis, who meet the selection criteria between January 2019 and December 2023. The patients were categorized into a sarcopenia group (31 cases) and a non-sarcopenia group (45 cases) based on the diagnostic criteria of the European Working Group on Sarcopenia in Older People (EWGSOP). Operative time, intraoperative blood loss, hospital stay duration, incision length, incision healing time, and complications were compared between the sarcopenia and non-sarcopenia groups. The improvement in clinical symptoms was evaluated using the Visual Analog Scale (VAS) and the Oswestry Disability Index (ODI). To assess the scoliosis correction effect, measurements were taken for the coronal Cobb angle (CCA), C7 plumb line-center sacral vertical line (C7-CSVL), lumbar lordosis (LL), and C7 plumb line-sagittal vertical axis (C7-SVA). Results All patients successfully underwent the surgical procedure. The average operation time in the sarcopenia group was 256.27 ± 28.09 (180–350) min, which was not significantly different from the 249.82 ± 24.35(185–320) min in the non-sarcopenia group (p > 0.05). The average intraoperative blood loss in the sarcopenia group was 786.25 ± 38.19 (420–1365) mL, compared to 810.62 ± 45.47 (456–1780) mL in the non-sarcopenia group (p > 0.05). The average incision length in the sarcopenia group was 12.57 ± 1.29 (10-16)cm, compared to 12.83 ± 2.03 (9-20)cm in the non-sarcopenia group (p > 0.05). The incision healing time in the sarcopenia group required an average of 15.72 ± 1.74 (12-25)d, which longer than the 10.18 ± 1.05 (10–14 ) d in the non-sarcopenia group (p < 0.05). The average hospital stay in the sarcopenia group was 13.46 ± 1.37 (8-26) d, which was also longer than the 8.33 ± 0.92 (6-12)d in the non-sarcopenia group (p < 0.05). The complication rate in the sarcopenia group was 29.03% (9/31), which was higher than the 13.33% (6/45) in the non-sarcopenia group (p < 0.05). The VAS and ODI scores of both groups at the last follow-up were significantly improved compared to preoperative levels (p < 0.05). At the last follow-up, the ODI in the non-sarcopenia group was better than that in the sarcopenia group (p < 0.05). There was no statistically significant difference between the two groups in terms of VAS scores at the last follow-up (p > 0.05). Both groups demonstrated significant improvements in CCA, C7-CSVL, LL, and C7-SVA compared to preoperative levels (p < 0.05). However, no statistically significant differences were observed between the groups at the final follow-up (p > 0.05). Conclusion Sarcopenia does not significantly affect the radiological outcomes of patients with degenerative lumbar scoliosis undergoing posterior surgical procedures, ODI was better in the non-sarcopenia group. In addition, patients with sarcopenia typically require a longer postoperative recovery period and are more susceptible to various complications compared to those without sarcopenia.https://doi.org/10.1186/s12893-025-03075-5SarcopeniaDegenerative lumbar scoliosisMuscle lossPosterior surgical correctionComplications |
| spellingShingle | Juyi Lai Xinbei Li Huangsheng Tan Hualong Feng Zhi Ming Lan Zhitao Sun Jian Wang Yuanfei Fu Shenghua He The impact of sarcopenia on the efficacy of posterior surgical treatment for degenerative lumbar scoliosis BMC Surgery Sarcopenia Degenerative lumbar scoliosis Muscle loss Posterior surgical correction Complications |
| title | The impact of sarcopenia on the efficacy of posterior surgical treatment for degenerative lumbar scoliosis |
| title_full | The impact of sarcopenia on the efficacy of posterior surgical treatment for degenerative lumbar scoliosis |
| title_fullStr | The impact of sarcopenia on the efficacy of posterior surgical treatment for degenerative lumbar scoliosis |
| title_full_unstemmed | The impact of sarcopenia on the efficacy of posterior surgical treatment for degenerative lumbar scoliosis |
| title_short | The impact of sarcopenia on the efficacy of posterior surgical treatment for degenerative lumbar scoliosis |
| title_sort | impact of sarcopenia on the efficacy of posterior surgical treatment for degenerative lumbar scoliosis |
| topic | Sarcopenia Degenerative lumbar scoliosis Muscle loss Posterior surgical correction Complications |
| url | https://doi.org/10.1186/s12893-025-03075-5 |
| work_keys_str_mv | AT juyilai theimpactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT xinbeili theimpactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT huangshengtan theimpactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT hualongfeng theimpactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT zhiminglan theimpactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT zhitaosun theimpactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT jianwang theimpactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT yuanfeifu theimpactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT shenghuahe theimpactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT juyilai impactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT xinbeili impactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT huangshengtan impactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT hualongfeng impactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT zhiminglan impactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT zhitaosun impactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT jianwang impactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT yuanfeifu impactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis AT shenghuahe impactofsarcopeniaontheefficacyofposteriorsurgicaltreatmentfordegenerativelumbarscoliosis |