Preoperative Risk Stratification Using Radiographic Measures of Central Obesity

Radiographic AC and ACPC ratios are strongly associated with central adiposity and cardiometabolic risk factors and may outperform BMI for risk stratification, especially in higher-weight patients. These metrics represent practical, objective tools for enhancing preoperative optimization protocols in spine surgery, and may be generalizable to other surgical and medical specialties.

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Publication Details

Journal
Spine
Published
2025-09-23
DOI
https://doi.org/10.1097/brs.0000000000005513
Primary Topic
Nutrition and Health in Aging
Type
article
Field-Weighted Citation Impact
0.00
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article

Preoperative Risk Stratification Using Radiographic Measures of Central Obesity

Gabriel González, Bassel Georges Diebo, Jinseong Kim, Alan H. Daniels et al.
Spine
Nutrition and Health in Aging
article

Preoperative Risk Stratification Using Radiographic Measures of Central Obesity

Gabriel González, Bassel Georges Diebo, Jinseong Kim, Alan H. Daniels, Manjot Singh, Nicolas L. Carayannopoulos, Alex Hernandez Manriquez, Zvipo Chisango, C Hurley, Joseph E. Nassar
article en

Abstract

Radiographic AC and ACPC ratios are strongly associated with central adiposity and cardiometabolic risk factors and may outperform BMI for risk stratification, especially in higher-weight patients. These metrics represent practical, objective tools for enhancing preoperative optimization protocols in spine surgery, and may be generalizable to other surgical and medical specialties.

SpineVol. 51(8)
Providence Regional Medical Center Everett (US), Brown University (US), Dr. Herbert & Nicole Wertheim Family Foundation (US)
Openalex Percentile: Top 67%
Nutrition and Health in Aging
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