STUDY DESIGN: Prospective clinical study. OBJECTIVE: (1) To determine the prevalence of depression at the 1-year postoperative stage among spinal stenosis patients. (2) To assess the predictive value of preoperative and 3-month depressive symptoms regarding the 1-year surgery outcome. SUMMARY OF BACKGROUND DATA: Some studies have found preoperative depressive symptoms to be associated with a poorer spinal stenosis surgery outcome. However, only the effect of preoperative depressiveness has been evaluated. The prevalence of depressiveness on 1-year follow-up among spinal stenosis patients is unclear. METHODS: One hundred two patients (mean age, 62 years) with symptomatic lumbar spinal stenosis underwent decompressive surgery. They completed the same set of questionnaires before surgery, 3 months, and 1 year after surgery. Depression was assessed with the 21-item Beck Depression Inventory. Physical functioning and pain were assessed with the Oswestry Disability Index, the Stucki Questionnaire, self-reported walking ability, the visual analogue scale and pain drawing. Logistic regression was used to examine the preoperative factors associated with a poorer surgery outcome on 1-year follow-up. In further analysis, a depressive burden variable (sum of preoperative and 3-month Beck Depression Inventory scores) was included as a predictor. RESULTS: Eighteen percent of spinal stenosis patients were depressed on 1-year follow-up. Higher preoperative Beck Depression Inventory scores and depressive burden scores burden were independently associated with a poorer self-reported functional ability, symptom severity and a poorer walking capacity on 1-year follow-up. As a dichotomous predictor, a high depressive burden was independently associated with all the postoperative outcome variables at the 1-year stage: greater disability, pain and symptom severity, and a poorer walking capacity. CONCLUSION: The prevalence of depression was notable among 1-year postoperative spinal stenosis patients. Depressive symptoms in the preoperative and early recovery phase were strong predictors of a poorer self-reported surgery outcome on 1-year follow-up. The results call for intervention strategies to detect and treat depression during both the preoperative and postoperative phase.
STUDY DESIGN: Prospective clinical study. OBJECTIVE: (1) To determine the prevalence of depression at the 1-year postoperative stage among spinal stenosispatients. (2) To assess the predictive value of preoperative and 3-month depressive symptoms regarding the 1-year surgery outcome. SUMMARY OF BACKGROUND DATA: Some studies have found preoperative depressive symptoms to be associated with a poorer spinal stenosis surgery outcome. However, only the effect of preoperative depressiveness has been evaluated. The prevalence of depressiveness on 1-year follow-up among spinal stenosispatients is unclear. METHODS: One hundred two patients (mean age, 62 years) with symptomatic lumbar spinal stenosis underwent decompressive surgery. They completed the same set of questionnaires before surgery, 3 months, and 1 year after surgery. Depression was assessed with the 21-item Beck Depression Inventory. Physical functioning and pain were assessed with the Oswestry Disability Index, the Stucki Questionnaire, self-reported walking ability, the visual analogue scale and pain drawing. Logistic regression was used to examine the preoperative factors associated with a poorer surgery outcome on 1-year follow-up. In further analysis, a depressive burden variable (sum of preoperative and 3-month Beck Depression Inventory scores) was included as a predictor. RESULTS: Eighteen percent of spinal stenosispatients were depressed on 1-year follow-up. Higher preoperative Beck Depression Inventory scores and depressive burden scores burden were independently associated with a poorer self-reported functional ability, symptom severity and a poorer walking capacity on 1-year follow-up. As a dichotomous predictor, a high depressive burden was independently associated with all the postoperative outcome variables at the 1-year stage: greater disability, pain and symptom severity, and a poorer walking capacity. CONCLUSION: The prevalence of depression was notable among 1-year postoperative spinal stenosispatients. Depressive symptoms in the preoperative and early recovery phase were strong predictors of a poorer self-reported surgery outcome on 1-year follow-up. The results call for intervention strategies to detect and treat depression during both the preoperative and postoperative phase.
Authors: Asdrubal Falavigna; Orlando Righesso; Alisson Roberto Teles; Lucas Piccoli Conzati; Julia Bertholdo Bossardi; Pedro Guarise da Silva; Joseph S Cheng Journal: Eur J Orthop Surg Traumatol Date: 2015-05-22
Authors: Edit Vereckei; Vereckei Edit; Eva Susanszky; Susanszky Eva; Maria Kopp; Kopp Maria; Istvan Ratko; Ratko Istvan; Agnes Czimbalmos; Czimbalmos Agnes; Zsolt Nagy; Nagy Zsolt; Eva Palkonyai; Palkonyai Eva; Laszlo Hodinka; Hodinka Laszlo; Peter I Temesvari; Temesvari I Peter; Emese Kiss; Kiss Emese; Klara Töro; Töro Klara; Gyula Poor; Poor Gyula Journal: Rheumatol Int Date: 2012-04-03 Impact factor: 2.631
Authors: Adam Pearson; Jon Lurie; Tor Tosteson; Wenyan Zhao; William Abdu; James N Weinstein Journal: Spine (Phila Pa 1976) Date: 2012-10-01 Impact factor: 3.468
Authors: Bassel G Diebo; Denis Cherkalin; Cyrus M Jalai; Neil V Shah; Greg W Poorman; George A Beyer; Frank A Segreto; Virginie Lafage; Qais Naziri; Jared M Newman; William P Urban; Thomas J Errico; Frank J Schwab; Carl B Paulino; Peter G Passias Journal: J Orthop Date: 2018-02-21
Authors: Adam M Pearson; Jon D Lurie; Tor D Tosteson; Wenyan Zhao; William A Abdu; James N Weinstein Journal: Spine (Phila Pa 1976) Date: 2013-10-01 Impact factor: 3.468