The influence of peri-operative depressive symptoms on medium-term spine surgery outcome: a prospective study

Purpose To investigate the role of depressive symptoms on clinical outcomes in patients undergoing spinal surgery up to 2-year follow-up. Methods The study used data from an institutional spine surgery registry (January 2016, through March 2022) to identify patients (> 18 years) undergoing spine...

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Bibliographic Details
Published in:European spine journal 2023-10, Vol.32 (10), p.3394-3402
Main Authors: Bellosta-López, Pablo, Mandelli, Filippo, Langella, Francesco, Brayda-Bruno, Marco, Bassani, Roberto, Cecchinato, Riccardo, Compagnone, Domenico, Giudici, Fabrizio, Luca, Andrea, Morselli, Carlotta, Scaramuzzo, Laura, Vanni, Daniele, Ponzo, Matteo, Berjano, Pedro
Format: Article
Language:English
Subjects:
Back surgery
Bone surgery
Depression - complications
Depression - epidemiology
Disability Evaluation
Humans
Medicine
Medicine & Public Health
Mental depression
Neurosurgery
Original Article
Patients
Prospective Studies
Quality of Life
Spine (cervical)
Surgical Orthopedics
Treatment Outcome
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Summary:Purpose To investigate the role of depressive symptoms on clinical outcomes in patients undergoing spinal surgery up to 2-year follow-up. Methods The study used data from an institutional spine surgery registry (January 2016, through March 2022) to identify patients (> 18 years) undergoing spine surgery. Patients with Oswestry Disability Index (ODI)  35). The ODI and MCS scores trajectory were wined over the 24-month post-surgery between groups. Additionally, a secondary subgroup analysis was conducted comparing outcomes between those with depressive symptoms (persistent-depression subgroup) and those without depressive symptoms (never-depression subgroup) at 3 months after surgery. Results A total of 2164 patients who underwent spine surgery were included. The pre-operative depression group reported higher ODI total scores and lower MCS than the pre-operative non-depression group at all time points ( P  
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-023-07875-2