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The level of the evidence was low (III and IV). Conclusions Bariatric surgery in severely obese patients decreases the intensity of low back symptoms and also decreases disability secondary to back problems. Additionally, bariatric surgery may be advantageous for patients who need a posterior lumbar surgery and are severely obese. Prospective studies with longer follow-up are necessary to confirm this conclusion. © The Author(s) 2019.Study Design Literature review. Objective To conduct a literature review of studies reporting the inci