PMID- 26046115
OWN - NLM
STAT- MEDLINE
DCOM- 20180412
LR  - 20181113
IS  - 1945-404X (Electronic)
IS  - 0090-7421 (Print)
IS  - 0090-7421 (Linking)
VI  - 44
IP  - 2
DP  - 2015 Summer
TI  - Investigating and predicting early lumbar spine surgery outcomes.
PG  - 83-90
AB  - OBJECTIVE: To examine short-term changes in patients' clinical status following 
      lumbar spine surgery (LSS) and to explore presurgical variables that predict 
      surgical outcomes. METHODS: Prospective cohort study. A total of 46 patients 
      underwent LSS. Patients completed the following questionnaires 1 week before LSS 
      and 2 weeks after discharge from the hospital: back and leg visual pain analogue 
      scale, Ronald Morris questionnaire (RMQ), Modified Somatic Perception 
      questionnaire (MSPQ), SF-36, Fear-Avoidance Beliefs Questionnaire, Beck's 
      Depression Inventory, EuroQol questionnaire, and patient-perception of 
      improvement. Regression models were constructed to examine predictors of pain, 
      function, quality of life, and patient-perception of improvement at 2 weeks 
      postsurgery. RESULTS: Patients demonstrated significant improvement in back and 
      leg pain and function. MSPQ and symptom duration were significant predictors of 
      back pain, while type of diagnosis and use of opioids were significant predictors 
      of leg pain. Preoperative MSPQ and RMQ were significant predictors of 
      postoperative RMQ. MSPQ, gender, and back pain were significant predictors of 
      quality of life. Back pain, leg pain, depression, smoking, and worker's 
      compensation were significantly associated with patient-perception of 
      improvement. CONCLUSIONS: This preliminary study could be viewed as a directory 
      to identify potential risk factors for unfavorable outcomes at early stages 
      following LSS.
FAU - Kanaan, Saddam F
AU  - Kanaan SF
AD  - University of Kansas Medical Center, Mailstop 2002, 3901 Rainbow Blvd., Kansas 
      City, KS 66160, USA. Tel 913-588-4566, fax 913-588-4568. nsharma@kumc.edu.
FAU - Arnold, Paul M
AU  - Arnold PM
FAU - Burton, Douglas C
AU  - Burton DC
FAU - Yeh, Hung-Wen
AU  - Yeh HW
FAU - Loyd, Lindsay
AU  - Loyd L
FAU - Sharma, Neena K
AU  - Sharma NK
LA  - eng
GR  - KL2 TR000119/TR/NCATS NIH HHS/United States
GR  - TL1 TR000120/TR/NCATS NIH HHS/United States
GR  - UL1 TR000001/TR/NCATS NIH HHS/United States
PT  - Journal Article
PL  - United States
TA  - J Allied Health
JT  - Journal of allied health
JID - 0361603
SB  - IM
MH  - Adult
MH  - Aged
MH  - Depression/complications/diagnosis/psychology
MH  - Female
MH  - Humans
MH  - Lumbar Vertebrae/*surgery
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - Pain, Postoperative/*psychology
MH  - Postoperative Complications/etiology/*psychology
MH  - Prospective Studies
MH  - *Quality of Life
MH  - Recovery of Function
MH  - *Spinal Fusion
MH  - Treatment Outcome
PMC - PMC5033040
MID - NIHMS817015
COIS- Disclosure/Conflict of Interest No duality of interest to declare.
EDAT- 2015/06/06 06:00
MHDA- 2018/04/13 06:00
CRDT- 2015/06/06 06:00
PHST- 2014/05/22 00:00 [received]
PHST- 2014/12/06 00:00 [accepted]
PHST- 2015/06/06 06:00 [entrez]
PHST- 2015/06/06 06:00 [pubmed]
PHST- 2018/04/13 06:00 [medline]
PST - ppublish
SO  - J Allied Health. 2015 Summer;44(2):83-90.