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Currently, 37% of adults in the United States are obese, and 34% are overweight. Obesity poses a particularly complex challenge in spinal surgery management, whereby risk of adverse surgical outcomes increases with increased body mass index (BMI). When patients are counseled to reduce weight to levels associated with acceptable surgical risks, patients often respond that their spinal problems prohibit the exercise needed to lose the required weight and counter that surgery will allow for increased activity and thereby facilitate weight loss. A retrospective study of a US Veterans Affairs (USVA) nationwide patient database was undertaken.

Trends in Weight and Body Mass Index after Spinal Surgery for Degenerative Disease