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Sponsor: Haydarpasa Numune Training and Research Hospital
Conditions: Morbid Obesity Requiring Bariatric Surgery, Neck Pain Musculoskeletal
Interventions: Laparoscopic Sleeve Gastrectomy
Countries: Turkey (Türkiye)
Obesity may contribute to neck pain, altered cervical posture, and impaired cervical function through increased mechanical loading, changes in body alignment, and reduced muscle performance. Although laparoscopic sleeve gastrectomy can produce substantial weight loss, its effects on cervical posture and neck-related function have not been studied comprehensively. This prospective, single-center study will include approximately 25 adults who are already scheduled to undergo laparoscopic sleeve gastrectomy as part of their routine clinical care. The decision to perform surgery and the surgical procedure itself will not be assigned or modified by the study. Participants will be evaluated before surgery and at 3, 6, and 12 months after surgery. Study assessments will include neck-related disability, neck pain intensity, quality of life, cervical range of motion, cervical muscle strength and endurance, and cervical joint position sense. Existing preoperative lateral cervical radiographs will be reviewed, and a lateral cervical radiograph will be obtained at the 12-month follow-up to assess cervical spinal alignment. The primary outcome will be the change in Neck Disability Index scores across the scheduled study assessments. The study aims to determine whether weight loss following laparoscopic sleeve gastrectomy is associated with changes in cervical posture, neck pain, and cervical function.
Sex: ALL
Age: 18 Years to 65 Years
Healthy volunteers: No
Study type: OBSERVATIONAL
Inclusion Criteria: * Adults aged 18 to 65 years * Obesity with a clinical indication for bariatric surgery * Scheduled to undergo laparoscopic sleeve gastrectomy at Haydarpasa Numune Training and Research Hospital * Availability of a previously obtained lateral cervical radiograph in the hospital information system or national electronic health record * Willingness and ability to attend the preoperative and 3-, 6-, and 12-month follow-up assessments * Provision of written informed consent Exclusion Criteria: * Previous cervical spine surgery * Acute cervical trauma, cervical fracture, or severe cervical deformity * Diagnosed inflammatory rheumatic disease, such as rheumatoid arthritis or ankylosing spondylitis * History of a neurological disorder, such as multiple sclerosis, myopathy, or peripheral neuropathy * Malignancy or advanced systemic disease, such as advanced heart failure or renal failure * Pregnancy or breastfeeding * Inability to attend the scheduled follow-up visits
- Istanbul, Istanbul, Turkey (Türkiye)