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 PMCR- 2016/09/22 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] PHST- 2016/09/22 00:00 [pmc-release] PST - ppublish SO - J Allied Health. 2015 Summer;44(2):83-90.