Investigation of the effect of weight loss after laparoscopic sleeve gastrectomy on cobb angle, waist and back pain: A prospective study

Abstract

Background: In many studies, it has been stated that obesity causes severe increases in the risks of disc degeneration, vertebral fracture, low back, and back pain. One of the most effective treatment options for obesity is bariatric surgery. Objectives: In this study, the effect of weight loss on these parameters was investigated by evaluating the Cobb angle, low back, and back pain. Setting: University Hospital Methods: A total of 89 patients were included in the study. Laparoscopic sleeve gastrectomy (SG) was performed on all patients. In addition, Cobb angle, height, weight, and body mass index (BMI) measurements were recorded at each visit. Investigating the quality and quantity of low back pain and the loss of function caused by the patients; visual analog scale (VAS), Oswestry Low Back Pain Disability Questionnaire (OLBPDQ), Roland-Morris Disability Questionnaire (RMDQ), and SF36 Quality of Life Questionnaire (SF36) were administered. Results: According to the preoperative Cobb angles, the decrease in the 6th month (P =.029) and 12th month (P = .007) measurements after the operation was found to be statistically significant (P < .05), but it was found to be clinically insignificant. When the changes in RMDQ, OLBPDQ, VAS, and SF-36 scores were examined, the decrease in the 6th month (P =.001) and 12th month (P =.001) scores after the operation was found to be significant compared to the preoperative scores (P < .01). Conclusions: In this study, weight loss after SG improved for patients with chronic low back and back pain and significantly improved their quality of life. (Surg Obes Relat Dis 2023;19:1357-1367.)