The impact of morbid obesity and metabolic syndrome in elective spine surgery outcomes: A systematic review
Vinicius Ricieri Ferraz, Guilherme Santos Piedade, Bashar Dawoud, Joacir Graciolli Cordeiro, Carlos R. Goulart, Philippe A. Mercier, Tobias A. Mattei · 2026
Read The impact of morbid obesity and metabolic syndrome in elective spine surgery outcomes: A systematic review by Vinicius Ricieri Ferraz, Guilherme Santos Piedade, Bashar Dawoud, Joacir Graciolli Cordeiro, Carlos R. Goulart, Philippe A. Mercier, Tobias A. Mattei (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13449414.txt.
Description
Vinicius Ricieri Ferraz and co-authors review in 2026 what morbid obesity and metabolic syndrome do to the odds in elective spine surgery. Their search of five databases covered comparative studies from 2000 to September 2025 and found 36 eligible papers. Because definitions and procedures varied widely, they leaned on structured narrative synthesis, using the strongest existing meta-analyses as numerical anchors.
Drawing on the largest such analysis, morbid obesity came with higher odds of surgical site infection, at 2.33, blood clots at 3.15, revision surgery at 1.43, and death at 2.6. A fresh check of two newer cohorts gave a matching infection estimate of 3.03. Metabolic syndrome independently predicted wound problems and readmissions even after obesity was counted. Patients with obesity still improved after surgery, yet they less often reached the improvement threshold patients can feel.
Catalog record
| CREATOR | Vinicius Ricieri Ferraz, Guilherme Santos Piedade, Bashar Dawoud, Joacir Graciolli Cordeiro, Carlos R. Goulart, Philippe A. Mercier, Tobias A. Mattei |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 74011 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |