Success and failure after surgery of degenerative disease of the lumbar spine: an operational definition based on satisfaction, pain, and disability from a prospective cohort

• DOI: 10.1186/s12891-022-05460-0
• Publication Date: 2022-05-27T06:02:46Z
• Authors: Albert V B Brasil; Maiara Anschau Fl...; Ericson Sfreddo; Tobias Ludwig do ...; Andriele Abreu Ca...; Luana Giongo Pedr...; Marina Bessel; Juçara Gasparetto...; Mohamed Parrini M...; Luiz Antonio Nasi
• Keywords: Cut-off; Back Pain

Abstract Background To describe success and failure (S&F) after lumbar spine surgery in terms equally understandable across the entire health ecosystem. Methods Back leg pain disability were prospectively recorded before up to 12 months procedure. Satisfaction was using a Likert scale. Initially, patients classified as satisfied or unsatisfied. Optimal satisfaction/unsatisfaction cutoff values for estimated with ROC curves. Satisfied unsatisfied groups underwent second subdivision into four subcategories: (satisfied AND concordant values), incomplete nonconformant (unsatisfied values). Results A total of 486 consecutive recruited from 2019–2021. The mean preoperative PROMs ODI 42.2 (+ 16.4), NPRS back 6.6 2.6) 6.2 points 2.9). Of total, 80.7% satisfied, 19.3% unsatisfactory. optimal (NPRS = 6, 27) defined subdivision: 59.6% success, 20.4% 7.1% 12.4% failure. descriptions each group translated following: success—all presented no only mild tolerable borderline disability; – all despite levels and/or worse than ideal success; not better expected failure; moderate severe disability. Conclusion It is possible report S&F DDL precise meaningful operational definitions focused on experience patient.