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Big people / Bad outcome?

backman38bbackman38 Posts: 37
edited 06/11/2012 - 8:28 AM in Back Surgery and Neck Surgery
I've noticed, most people with better outcomes seem to be for smaller people. Is this true? What if a large person is in shape, not adipose endowed? Is there a difference? And does size matter with fusion outcomes?

Interesting questions?



  • Being "husky" might have some issues with recovery, but I think the success of the surgery is pretty much dependent on the skill of the surgeon and the ability to remove all of the things that are contributing to the compression of the nerves. If lumbar surgery is involved, weight can escalate the degree of degeneration -- but so can being older, type of activity done in the past and many other factors.
    The variables are too wide to make any statistical premise.
    Just have positive outlook and do the best you can within the limitations prescribed by the doctor. Don't try and do too much and let your body heal.
    Hope you do well ---
  • It depends on overall health status and age overall.

    I am 6ft 360lbs and did VERY well with my surgery and advancing on all my goals in physical therapy right now.

    Too many factors. I am also proportioned correctly vs. someone that gained weight fast.

    But I can say in my case I've done better then prob 90% of lumbar fusions do.
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  • I appreciated your feedback Jakotsu. I had a microdisc,lominotonomy, and microforaminonomy. My back muscles still get tight and I get some leg pain while standing. When I try to pick up some of my activities, it doesn't happen. I just think that level squishes while standing and I can't stand it. I'm 6'3" and 280-90 and want to be better. Is that too much to ask?

  • Can't say I have those issues. My height was a big issue with sitting in chairs as most are low.

    I had trouble eating dinner tonight at a mexican restaurant as the chair was small and back was curved, and with my fusion I can't just bend forward lol.

    The only time I feel my weight on my back is when I lay flat and get up, wow it hurts. But thats another issue not sure whats causing it. I sleep in a chair (not a recliner) sitting straightup at night.
  • Most women aren't 6' tall and I weigh more than I should. I had my 360 fusion and ADR 4 months ago and I am pain free using no pain meds. I flew through PT and actually went home the next morning after surgery. I am so happy I did this even though I am overweight, I did extremely well. Time will tell but I do agree the surgeons skill is the greatest factor. I also had a vascular surgeon who is a trauma doctor so that was good. My entire surgery was just over 2 hours! I feel so blessed to have had such good care and a great outcome. Keep positive thoughts and Best Wishes
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