Time course and correlates of psychological distress post spinal surgery: A longitudinal study

• DOI: 10.1016/j.xnsj.2023.100277
• Publication Date: 2023-09-15T10:44:51Z
• Authors: June Mei Tse Quek; Joy Tan; Irene Toh; John Li-Tat Chen; William Yeo; Yong-Hao Pua
• Keywords: Longitudinal Study

Psychological distress post lumbar spine surgery is associated with poorer outcomes. There a scarcity of studies devoted to analyzing the risk factors psychological in patients who have undergone fusion surgery. The purpose this study was (1) describe time course and severity using STarT Back Tool (SBT) (2) determine demographic clinical predictors SBT score surgery.This retrospective longitudinal analyzed 227 subjects 1- 2-level underwent standardized assessment preoperatively at 4 12 weeks postoperatively. Preoperative variables collected were demographic, clinical, variables. Postoperative measured by self-reported SBT. Risk for over identified ordinal mixed-effects modelling.Although trajectory levels declined postoperatively time, week-12, 20% had moderate high scores week-4 point significantly greater than week-8 (OR = 2.7, 95% credible interval [CrI]; 1.8-3.9). Greater strongly throughout follow-up 7.3, [95% CrI; 1.2-31.4]). postoperative being male 2.2, 1.0-3.9), preoperative back or leg pain intensity 2.2; CrI: 1.0-4.4), weakness 4.2, 1.7-7.5) higher depression 4.8; 1.6-10.4).Postoperative nonlinearly time. However, sizable proportion week-12 postsurgery. intensity, levels, gender Although requiring validation, our has potential modifiable which may give an opportunity provide early (preoperative) targeted strategies optimize psychosocial outcomes undergoing surgeries.