What question did this study set out to answer?

To evaluate the impact of metabolic and bariatric surgery on low back pain severity, quality of life, and radiological spinal alignment in morbidly obese patients.

October 15, 2025The Spine JournalOpen Access

The effects of metabolic and bariatric surgery on spinal alignment, radiological, and clinical outcomes in morbidly obese patients with LBP: a systematic review and meta-analysis

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Authors

KAKhaled Aboushaala OIOthman Ibrahim RARewa Aboushaala

Discussion

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Overview

Systematic review and meta-analysis reveals reduced back pain and improved spinal alignment in morbidly obese patients, indicating mechanical relief from weight loss.

Key Points

To evaluate the impact of metabolic and bariatric surgery on low back pain severity, quality of life, and radiological spinal alignment in morbidly obese patients.
Conducted a systematic review and meta-analysis following PRISMA guidelines and the PICOS framework across prospective, retrospective, and cross-sectional studies published between 2000 and 2025.
Included 13 studies representing 390 adult morbidly obese patients (BMI ≥40 kg/m²) with low back pain who underwent sleeve gastrectomy, Roux-en-Y gastric bypass, or gastric banding.
Extracted and synthesized data using RevMan 5.4 to evaluate changes in visual analog scale scores, SF-36 and Oswestry Disability Index measures, and radiographic or MRI spinal parameters.
Metabolic and bariatric surgery markedly alleviated low back pain, with mean visual analog scale scores falling from 6.8–7.6 preoperatively to 3.0–4.1 postoperatively.
Quality of life metrics evaluated via the SF-36 and Oswestry Disability Index demonstrated substantial improvements, notably across physical function and daily living activities.
Radiological evaluations showed increased intervertebral disc height and improved lumbar lordosis after surgery, though changes in spinopelvic alignment remained inconsistent across studies.

Cite This Study

Aboushaala et al. (2025) studied this question.

synapsesocial.com/papers/6a955f7ea9fda6dc960f5072 https://doi.org/10.1016/j.spinee.2025.10.014

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October 15, 2025The Spine JournalOpen Access

The effects of metabolic and bariatric surgery on spinal alignment, radiological, and clinical outcomes in morbidly obese patients with LBP: a systematic review and meta-analysis

View Full Paper

Ask AI

Bookmark

Authors

KAKhaled Aboushaala OIOthman Ibrahim RARewa Aboushaala

Discussion

Member takes

Overview

Systematic review and meta-analysis reveals reduced back pain and improved spinal alignment in morbidly obese patients, indicating mechanical relief from weight loss.

Key Points

To evaluate the impact of metabolic and bariatric surgery on low back pain severity, quality of life, and radiological spinal alignment in morbidly obese patients.
Conducted a systematic review and meta-analysis following PRISMA guidelines and the PICOS framework across prospective, retrospective, and cross-sectional studies published between 2000 and 2025.
Included 13 studies representing 390 adult morbidly obese patients (BMI ≥40 kg/m²) with low back pain who underwent sleeve gastrectomy, Roux-en-Y gastric bypass, or gastric banding.
Extracted and synthesized data using RevMan 5.4 to evaluate changes in visual analog scale scores, SF-36 and Oswestry Disability Index measures, and radiographic or MRI spinal parameters.
Metabolic and bariatric surgery markedly alleviated low back pain, with mean visual analog scale scores falling from 6.8–7.6 preoperatively to 3.0–4.1 postoperatively.
Quality of life metrics evaluated via the SF-36 and Oswestry Disability Index demonstrated substantial improvements, notably across physical function and daily living activities.
Radiological evaluations showed increased intervertebral disc height and improved lumbar lordosis after surgery, though changes in spinopelvic alignment remained inconsistent across studies.

Cite This Study

Aboushaala et al. (2025) studied this question.

synapsesocial.com/papers/6a955f7ea9fda6dc960f5072 https://doi.org/10.1016/j.spinee.2025.10.014

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