PMID- 38306641
OWN - NLM
STAT- MEDLINE
DCOM- 20240501
LR  - 20240501
IS  - 1547-5646 (Electronic)
IS  - 1547-5646 (Linking)
VI  - 40
IP  - 5
DP  - 2024 May 1
TI  - Comparison of sleep improvement in patients undergoing lumbar spine 
      decompression.
PG  - 580-584
LID - 10.3171/2023.11.SPINE23704 [doi]
AB  - OBJECTIVE: Degenerative spine conditions affect many people each year. These 
      conditions have been shown to negatively impact pain, function, and patient 
      quality of life (QOL), which often require surgical intervention. It is 
      understood that sleep plays an important role in all of these factors. However, 
      the relationship between sleep disruption and lumbar surgery is not well 
      understood. The objective of this study was to use a large database to understand 
      the relationship between sleep quality and lumbar spine surgery outcomes. 
      METHODS: The surgical database of the authors' institute was used to identify all 
      patients undergoing lumbar spine surgery for degenerative spine disease from 
      January 1, 2012, through December 31, 2021. Patient-Reported Outcomes Measurement 
      Information System (PROMIS) sleep disturbance scores were collected, and only 
      patients with both pre- and postoperative scores were included. Additional 
      measures related to disability, pain, and depression were also obtained. Chart 
      review was performed to collect patient demographics, health risk factors, and 
      information related to sleep disturbances such as sleep medication usage and 
      prior sleep condition diagnosis. RESULTS: The study had 674 patients who met the 
      criteria. At 3, 6, and 12 months postoperatively, there was a significant 
      decrease in sleep disruption scores (i.e., sleep improvement), although these 
      decreases were not greater than the minimal clinically important difference 
      (MCID). When stratified based on preoperative sleep quality, patients with poor 
      preoperative scores (PROMIS sleep disruption > 63.04) showed a significant 
      decrease in sleep disruption by 8.17 at 3 months, 7.99 at 6 months, and 7.21 at 
      12 months. All of these decreases were greater than the sleep disruption MCID of 
      6.5. Multivariate analysis showed high preoperative sleep disruption and 
      improvement in PROMIS physical health were most associated with decreased 
      postoperative sleep disruption at all postoperative time points. CONCLUSIONS: In 
      patients with degenerative spine conditions, lumbar spine surgery offers 
      improvement in sleep disruption for all patients. Those with poor preoperative 
      sleep quality are more likely to see clinical improvement in their sleep 
      disruption.
FAU - McNassor, Ryan
AU  - McNassor R
AD  - 1Cleveland Clinic Center for Spine Health, Cleveland Clinic Foundation, 
      Cleveland, Ohio; and.
AD  - 2Beaumont Orthopedic Institute, Beaumont Health, Royal Oak, Michigan.
FAU - Yang, Jennifer
AU  - Yang J
AD  - 1Cleveland Clinic Center for Spine Health, Cleveland Clinic Foundation, 
      Cleveland, Ohio; and.
FAU - Shost, Michael D
AU  - Shost MD
AD  - 1Cleveland Clinic Center for Spine Health, Cleveland Clinic Foundation, 
      Cleveland, Ohio; and.
FAU - Benzil, Deborah L
AU  - Benzil DL
AD  - 1Cleveland Clinic Center for Spine Health, Cleveland Clinic Foundation, 
      Cleveland, Ohio; and.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20240202
PL  - United States
TA  - J Neurosurg Spine
JT  - Journal of neurosurgery. Spine
JID - 101223545
SB  - IM
MH  - Humans
MH  - Male
MH  - Female
MH  - *Lumbar Vertebrae/surgery
MH  - Middle Aged
MH  - *Decompression, Surgical/methods
MH  - *Quality of Life
MH  - Aged
MH  - Sleep Wake Disorders
MH  - Sleep Quality
MH  - Patient Reported Outcome Measures
MH  - Treatment Outcome
MH  - Sleep/physiology
MH  - Adult
MH  - Retrospective Studies
OTO - NOTNLM
OT  - degenerative spine
OT  - lumbar
OT  - sleep
EDAT- 2024/02/02 18:42
MHDA- 2024/05/02 00:49
CRDT- 2024/02/02 16:53
PHST- 2023/06/25 00:00 [received]
PHST- 2023/11/28 00:00 [accepted]
PHST- 2024/05/02 00:49 [medline]
PHST- 2024/02/02 18:42 [pubmed]
PHST- 2024/02/02 16:53 [entrez]
AID - 10.3171/2023.11.SPINE23704 [doi]
PST - epublish
SO  - J Neurosurg Spine. 2024 Feb 2;40(5):580-584. doi: 10.3171/2023.11.SPINE23704. 
      Print 2024 May 1.