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Coronavirus Disease 2019 Shutdown Did Not Affect Mental Health Scores in Lumbar Decompression Patients in a Large Metropolitan Region – Lumbar Spinal Stenosis

The article is a retrospective study that aims to evaluate the impact of the COVID-19 shutdown on the mental health scores of spine patients undergoing lumbar decompression surgery. The study divided patients into two cohorts, one before the shutdown and one after, and compared their mental health scores. The results showed that there were no significant differences in mental health scores between the two cohorts at any time period evaluated. However, it is noted that both cohorts were matched for preoperative pain and disability scores, which may have been affected by the shutdown. Overall, the study suggests that the COVID-19 shutdown did not have a noticeable effect on the mental health of patients undergoing lumbar decompression surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: The COVID-19 shutdown in a large metropolitan area did not affect preoperative or early postoperative mental health in patients undergoing lumbar decompression. However, each cohort was matched for preoperative pain and disability scores, which may have adversely been affected by the shutdown.

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Clin Spine Surg. 2023 Jul 21. doi: 10.1097/BSD.0000000000001493. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective study.OBJECTIVE: To evaluate the effect of the coronavirus disease 2019 (COVID-19) shutdown in a large metropolitan area on mental health scores of spine patients undergoing lumbar decompression in the preoperative and early postoperative phases.SUMMARY OF BACKGROUND DATA: Global mental health has,

Clin Spine Surg. 2023 Jul 21. doi: 10.1097/BSD.0000000000001493. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective study.

OBJECTIVE: To evaluate the effect of the coronavirus disease 2019 (COVID-19) shutdown in a large metropolitan area on mental health scores of spine patients undergoing lumbar decompression in the preoperative and early postoperative phases.

SUMMARY OF BACKGROUND DATA: Global mental health has been demonstrated to be negatively affected by COVID-19 shutdowns. Preoperative mental health affects outcomes in spine patients, and the effect of COVID-19 shutdowns on mental health in this population is unclear.

PATIENTS AND METHODS: Patients were retrospectively identified from a single orthopedic spine surgeon registry. Patients were divided into 2 cohorts, separated by the date of surgery on or after March 20, 2020, the date of local shutdown due to COVID-19. After division, patients were propensity score matched for age, sex, ethnicity, common comorbidities, body mass index, preoperative visual analog scale back and leg pain scores, and preoperative Oswestry Disability Index. Perioperative characteristics were observed and recorded. Mental health scores, 12-item Short Form Mental Component Score, and 9-item Patient Health Questionnaire 9 were collected preoperatively, at 6 weeks, and at 12 weeks and compared between cohorts through Student t tests.

RESULTS: Three hundred thirty-four patients were identified, with 184 patients remaining after propensity score matching. Of the remaining 184 patients, 119 patients were identified as having surgery within the 2 years before the shutdown (“Pre-Shutdown”), whereas 65 patients had surgery within the 2 years after shutdown (“Post-Shutdown”). There were no significant differences between Pre-Shutdown and Post-Shutdown cohorts with regard to either Short Form Mental Component Score or Patient Health Questionnaire-9 at any time period evaluated (P > 0.050, all).

CONCLUSION: The COVID-19 shutdown in a large metropolitan area did not affect preoperative or early postoperative mental health in patients undergoing lumbar decompression. However, each cohort was matched for preoperative pain and disability scores, which may have adversely been affected by the shutdown.

PMID:37482633 | DOI:10.1097/BSD.0000000000001493

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Coronavirus Disease 2019 Shutdown Did Not Affect Mental Health Scores in Lumbar Decompression Patients in a Large Metropolitan Region

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Clin Spine Surg. 2023 Jul 21. doi: 10.1097/BSD.0000000000001493. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective study.OBJECTIVE: To evaluate the effect of the coronavirus disease 2019 (COVID-19) shutdown in a large metropolitan area on mental health scores of spine patients undergoing lumbar decompression in the preoperative and early postoperative phases.SUMMARY OF BACKGROUND DATA: Global mental health has

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