August 02, 2017
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Preoperative diagnosis predictive of patient satisfaction after lumbar spine surgery

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Results from this study indicated patient satisfaction after lumbar spine surgery was predicted by preoperative diagnosis.

Researchers identified patients who underwent lumbar spine surgery and were enrolled in the Quality Outcomes Database. Patients completed the Oswestry Disability Index (ODI) and Numeric Rating Scale (NRS) for back pain and leg pain preoperatively and at 1 year after surgery. Investigators grouped patients according to their diagnosis and response to a question regarding satisfaction.

Results showed patients with primary disc herniation or spondylolisthesis had a greater chance of reporting that surgery had met their expectations, followed by patients who had recurrent disc herniation and stenosis. Investigators noted a smaller number of patients with adjacent segment degeneration and mechanical disc collapse reported that surgery met their expectations.

According to researchers, 88% of patients who had disc herniation would undergo their procedures again vs. 79% who recurrent disc herniation; 86% who had spondylolisthesis; 82% who had stenosis; 75% who had adjacent segment disease; and 73% who had mechanical collapse. “Regardless of diagnosis, mean improvement and ultimate 1-year postoperative ODI, NRS-BP (back pain), and NRS-LP (leg pain) reflected patient satisfaction,” the researchers wrote. – by Monica Jaramillo

Disclosures: Crawford reports he is a consultant for Alphatec and Medtronic and has teaching/speaking engagements with Titan Spine. Please see the full study for a list of all other authors’ relevant financial disclosures.