By Justin Wiggins
A successful and speedy recovery is something we all hope to have after a
serious surgery. Researchers have recently discovered low levels of vitamin D in
a group of patients undergoing spinal surgery, which may delay their
recovery.
Vitamin D helps calcium absorption and is needed for bone growth. Vitamin D
deficiency can lead to osteomalacia, resulting in softer and weaker bones.
Osteomalacia also interferes with new bone formation, which can be very
problematic for someone undergoing spinal fusion surgery, where bones have to
fuse together in order to span an internal gap.
Jacob M. Buchowski, MD and his team of researchers at Washington
University School of Medicine in St. Louis recently completed a study of 313
patients who were undergoing spinal fusion surgery. Of this group, 44 percent
were male and 56 percent were female; the average age of was 55. Analysis
indicated that more than half had inadequate levels of vitamin D, including 25
percent who were severely deficient.
Low vitamin D levels are relatively common in older popultations–this is one
of the reasons the RDA for adults over 70 is approximately 30 percent higher
than the standard recommendation. In this study, however, it came as a surprise
that the patients most likely to have inadequate levels of the bone-building
vitamin were younger. “We rarely think about deficiency in younger patients,”
Buchowski says. “More of the older patients in this study had a history of
taking supplements, and as a result, they had less risk for vitamin D deficiency
than younger patients.”
“Our findings suggest it may be worthwhile to screen surgery patients for
vitamin D,” says Buchowski. He feels as if patients with insufficient levels of
vitamin D could benefit from taking 50,000 international units of the vitamin
once a week for eight weeks before a surgery. This extra boost in vitamin D may
help facilitate recovery after spinal fusion surgery.
Based on the results of the survey, Buchowski and his colleagues are
recommending that patients that are waiting to have a spinal fusion surgery take
a vitamin D supplement prior to and following surgery. Along with all the other
great benefits this vitamin has to offer, that may also be good
advice for those of us who are hoping to avoid spinal fusion surgery–or any
other kind.
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