PMID- 35224241
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220502
IS  - 2432-261X (Electronic)
IS  - 2432-261X (Linking)
VI  - 6
IP  - 1
DP  - 2022
TI  - Improvements in Mental Well-Being and its Predictive Factors in Patients who 
      Underwent Cervical versus Lumbar Decompression Surgery.
PG  - 10-16
LID - 10.22603/ssrr.2021-0060 [doi]
AB  - INTRODUCTION: Mental well-being is essential for patient satisfaction. Therefore, 
      a better understanding of the changes in the mental well-being of patients 
      following spinal surgery can be useful to surgeons. We compared the 2-year 
      postoperative change in the mental well-being of patients who underwent cervical 
      and lumbar decompression surgery. Additionally, the predictive factors for 
      improvement in mental well-being associated with both methods were evaluated. 
      METHODS: The patients who underwent spinal decompression surgery and were 
      followed >2 years postoperatively were enrolled (lumbar cohort: n=111, cervical 
      cohort: n=121). The 36-item Short-Form Health Survey (SF-36) mental component 
      summary (MCS) was set as the mental well-being parameter, and the minimal 
      clinically important difference (MCID) was defined as 4.0. After adjusting the 
      cervical and lumbar cohorts using propensity scores, the improvements in the MCS 
      were compared between the groups using a mixed-effect model. To identify 
      predictors for improvements, the correlation between the MCS changes and 
      preoperative clinical scores was evaluated. Subsequently, multivariate linear 
      regression was applied, which included variables with p<0.10 in the former 
      analysis as explanatory variables, and the change of MCS as the objective 
      variable. RESULTS: There were no significant differences in the MCS improvement 
      between the adjusted cervical and lumbar cohorts; 47% and 49%, respectively, had 
      MCS improvement score >MCIDs. However, predictors for the improvement were 
      different between the two cohorts: SF-36 Social functioning in cervical surgery 
      and lower back pain and SF-36 Role physical in lumbar surgery. CONCLUSIONS: 
      Although there was no significant difference in the improvement in the mental 
      well-being between patients who underwent either cervical or lumbar decompression 
      surgery, less than half of the patients in both groups achieved a meaningful 
      improvement. Preoperative back pain and personal activity were independent 
      predictors in the lumbar cohort, while social functioning was the only predictor 
      in the cervical cohort. Level of evidence: III.
CI  - Copyright (c) 2022 by The Japanese Society for Spine Surgery and Related Research.
FAU - Tamai, Koji
AU  - Tamai K
AD  - Department of Orthopedics, Osaka City University Graduate School of Medicine, 
      Osaka, Japan.
FAU - Suzuki, Akinobu
AU  - Suzuki A
AD  - Department of Orthopedics, Osaka City University Graduate School of Medicine, 
      Osaka, Japan.
FAU - Toyoda, Hiromitsu
AU  - Toyoda H
AD  - Department of Orthopedics, Osaka City University Graduate School of Medicine, 
      Osaka, Japan.
FAU - Terai, Hidetomi
AU  - Terai H
AD  - Department of Orthopedics, Osaka City University Graduate School of Medicine, 
      Osaka, Japan.
FAU - Hoshino, Masatoshi
AU  - Hoshino M
AD  - Department of Orthopedics, Osaka City University Graduate School of Medicine, 
      Osaka, Japan.
FAU - Takahashi, Shinji
AU  - Takahashi S
AD  - Department of Orthopedics, Osaka City University Graduate School of Medicine, 
      Osaka, Japan.
FAU - Hori, Yusuke
AU  - Hori Y
AD  - Department of Orthopedics, Osaka City University Graduate School of Medicine, 
      Osaka, Japan.
FAU - Yabu, Akito
AU  - Yabu A
AD  - Department of Orthopedics, Osaka City University Graduate School of Medicine, 
      Osaka, Japan.
FAU - Nakamura, Hiroaki
AU  - Nakamura H
AD  - Department of Orthopedics, Osaka City University Graduate School of Medicine, 
      Osaka, Japan.
LA  - eng
PT  - Journal Article
DEP - 20210611
PL  - Japan
TA  - Spine Surg Relat Res
JT  - Spine surgery and related research
JID - 101718059
PMC - PMC8842360
OTO - NOTNLM
OT  - cervical
OT  - lumbar
OT  - mental well-being
OT  - predictor
OT  - quality of life
COIS- Conflicts of Interest: The authors declare that there are no relevant conflicts 
      of interest.
EDAT- 2022/03/01 06:00
MHDA- 2022/03/01 06:01
PMCR- 2021/06/11
CRDT- 2022/02/28 05:41
PHST- 2021/03/24 00:00 [received]
PHST- 2021/05/06 00:00 [accepted]
PHST- 2022/02/28 05:41 [entrez]
PHST- 2022/03/01 06:00 [pubmed]
PHST- 2022/03/01 06:01 [medline]
PHST- 2021/06/11 00:00 [pmc-release]
AID - 10.22603/ssrr.2021-0060 [doi]
PST - epublish
SO  - Spine Surg Relat Res. 2021 Jun 11;6(1):10-16. doi: 10.22603/ssrr.2021-0060. 
      eCollection 2022.