Elective Lumbar Spine Surgery in Depressed Patients: Is it Worth it?
| Autor: | David Cancer, Anna Isart, M.T. Ubierna, Gemma Vilà-Canet, Francesco Ciccolo, Enric Cáceres, Ana García de Frutos, Augusto Covaro |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale business.industry medicine.disease Surgery Oswestry Disability Index 03 medical and health sciences 0302 clinical medicine Lumbar Radicular pain medicine Lumbar spine surgery Orthopedics and Sports Medicine Observational study 030212 general & internal medicine Elective surgery business Lumbar Spine 030217 neurology & neurosurgery Depression (differential diagnoses) |
| Zdroj: | Int J Spine Surg |
| ISSN: | 2211-4599 |
| DOI: | 10.14444/8062 |
| Popis: | Background: The objective of this study is to compare surgical results (pain, function, and satisfaction) between a group of depressed patients and a nondepressed group who had been operated on for a degenerative lumbar condition. Methods: Prospective observational study. Preoperative pain (lumbar and radicular visual analog scale [VAS]), function (Oswestry Disability Index [ODI]), and depression (Zung depression scale) data were collected in patients listed to be operated on for a lumbar degenerative condition. One year postoperatively, ODI and VAS data were collected again as well as a satisfaction question (are you satisfied with the surgical results? Yes/no). Results: Ninety-seven patients were included in the study, 78 nondepressed patients (80.4%) and 19 depressed patients (19.6%). Preoperatively, depressed patients had more lumbar pain (P = .00) and more functional limitation (P = .01) than nondepressed patients. One year postoperatively, depressed patients had more radicular pain (P = .029) and more functional limitation (P = .03) than non-depressed patients. The overall improvement of pain and function was similar between both groups (not significant). Seventy percent of depressed patients and 80% of nondepressed patients were satisfied with the surgical outcome (P = .52) 1 year postoperatively. Conclusion: Depressed patients experience the same overall level of improvement as nondepressed patients, despite having more pain and functional limitation preoperatively and 1 year after elective lumbar spine surgery than nondepressed patients. The level of satisfaction does not differ significantly between the two groups. Level of Evidence: 2. |
| Databáze: | OpenAIRE |
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