19 Harley St, London, W1G 9QJ, UK

Correlation between Mental Health and Patient-reported Outcomes after Lateral Lumbar Interbody Fusion – Published Article

Day Case Lumbar Fusion Surgery

The article titled “Correlation Between Mental Health and Outcomes Following Lateral Lumbar Interbody Fusion” explores the relationship between mental health and outcomes after undergoing lateral lumbar interbody fusion (LLIF) surgery. The study included 124 patients who had undergone LLIF and were assessed using various patient-reported outcomes (PROs) including measures of mental health (SF-12 MCS and PHQ-9), physical function, pain, and disability. The results showed that better mental health scores were correlated with superior physical function, pain, and disability scores, as measured by both SF-12 MCS and PHQ-9. However, the PHQ-9 consistently reported a stronger and more significant correlation with all measured outcomes compared to SF-12 MCS. This study highlights the importance of considering mental health in the assessment and management of patients undergoing LLIF surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative sugical centre in UK

Published article

CONCLUSION: Better mental health scores correlated with superior physical function, pain, and disability scores when measured by both SF-12 MCS and PHQ-9. PHQ-9 more consistently reported significant correlation to all outcomes measured when compared to SF-12 MCS.

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2023 Jul 5:S1878-8750(23)00924-5. doi: 10.1016/j.wneu.2023.06.138. Online ahead of print.ABSTRACTOBJECTIVE: To assess correlational relationship between mental health and outcomes following lateral lumbar interbody fusion (LLIF).METHODS: Patients who had undergone LLIF were identified. Patients with indications for surgery including infection, trauma, or malignancy were excluded. Patient-reported outcomes (PROs) included SF-12 MCS/PHQ-9/PROMIS-PF/SF-12 PCS/VAS back and leg,

World Neurosurg. 2023 Jul 5:S1878-8750(23)00924-5. doi: 10.1016/j.wneu.2023.06.138. Online ahead of print.

ABSTRACT

OBJECTIVE: To assess correlational relationship between mental health and outcomes following lateral lumbar interbody fusion (LLIF).

METHODS: Patients who had undergone LLIF were identified. Patients with indications for surgery including infection, trauma, or malignancy were excluded. Patient-reported outcomes (PROs) included SF-12 MCS/PHQ-9/PROMIS-PF/SF-12 PCS/VAS back and leg pain/ODI and were collected preoperatively and at several postoperative time points extending to 1 year. Pearson’s correlation tests were used to compare SF-12 MCS and PHQ-9 to the other PROs.

RESULTS: One hundred and twenty four patients were included. SF-12 MCS positively correlated with PROMIS-PF at 6-months (r=0.466) and SF-12 PCS preoperatively (r=0.287) and at 6-months (r=0.419) (p≤0.041, all). SF-12 MCS negatively correlated with VAS back preoperatively (r=-0.315), at 12-weeks (r=-0.414), and at 6 months (r=-0.746), VAS leg at 12 weeks (r=-0.378), and ODI preoperatively (r=-0.580) (p≤0.023, all). PHQ-9 negatively correlated with PROMIS-PF at all periods except 12-weeks (range: r=-0.357 to -0.566, p≤0.017, all) and SF-12 PCS preoperatively, at 6-weeks, and at 6-months (range: r=-0.363 to -0.562, p≤0.022, all). PHQ-9 positively correlated with VAS back at all periods prior to 1-year (range: r=0.415-0.690, p≤0.001, all), VAS leg at 12-weeks (r=0.467) and 6-months (r=0.402) (p≤0.028, both), and ODI at all periods except 6-months (range: r=0.413-0.637, p≤0.008, all).

CONCLUSION: Better mental health scores correlated with superior physical function, pain, and disability scores when measured by both SF-12 MCS and PHQ-9. PHQ-9 more consistently reported significant correlation to all outcomes measured when compared to SF-12 MCS.

PMID:37419311 | DOI:10.1016/j.wneu.2023.06.138

The London Spine Unit : innovative sugical centre in UK

Read the original publication:

Correlation between Mental Health and Patient-reported Outcomes after Lateral Lumbar Interbody Fusion

Sciatica My mother was in absolute agony for more than 3 months due to sciatica. It just came out of nowhere and took her out of action. From working full time she went straight to being bed bound and unable to carry out simplest of actions.The pain was 9/10 and she was bed bound for those three months. Multiple trips to A&E and GP and they wouldn't class it as an emergency therefore they wouldn't do anything about it other than upgrading the painkillers which did next to nothing for my mother. I couldn't bear to watch my mother sleeping on A&E bench in pain for 7 hours, just to be told by doctors that she wouldn't be kept in. I remember her joining her hands and begging the doctors to stop the pain which broke my heart. I then started doing research on google and London spine unit came up with Dr Mo AKMAL's profile and review. First meeting with Dr AKMAL was via ZOOM as my mother was bed bound. Dr AKMAL spoke to me and my mom and told us that this is nothing to worry about and that the pain would be 100% gone.Dr AKMAL assured us to visit the hospital so he could physically inspect my mother and give us the best solution. One trip to the london spine unit and Dr AKMAL advised us that the best solution would be to carry out Minimally invasive disectomy. Dr AKMAL advised that due to my mother being bed bound for a while, steroid injection might not give the result that my mother wishes. Dr AKMAL was very confident and showed us some videos from other patients who had gone through the same ordeal. The biggest thing i noticed between before and after was the smile on the patients face. Dr AKMAL was constantly assuring my mother throughout the meeting that he would take care of her pain and gave her 100% confidence that the result would be delivered.He promised her that she would be walking pain free the same day after the operation. Before the operation Dr GURUNG was consulted multiple times and he also was very helpful. Right after the surgery, as Dr AKMAL promised, my mother was walking and the biggest thing was that the pain was gone. My mother had forgotten to smile for three months and there i saw her smiling again. Dr AKMAL and Dr GURUNG gave us brilliant aftercare and informed us that just give them a ring if there was any issue. Its been several weeks now and my mother is heading towards complete recovery without any issues. The pain is completely gone and anyone who is reading this going through the same horrible sciatica pain you must come and see Dr AKMAL. Thank you Dr AKMAL and your whole team for helping my mom achieve this pain free life.

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
Check out our Reviews 
Check out our Patient Videos 
Check our Mr Akmal’s Profile

 

What our patients say ...

World Neurosurg. 2023 Jul 5:S1878-8750(23)00924-5. doi: 10.1016/j.wneu.2023.06.138. Online ahead of print.ABSTRACTOBJECTIVE: To assess correlational relationship between mental health and outcomes following lateral lumbar interbody fusion (LLIF).METHODS: Patients who had undergone LLIF were identified. Patients with indications for surgery including infection, trauma, or malignancy were excluded. Patient-reported outcomes (PROs) included SF-12 MCS/PHQ-9/PROMIS-PF/SF-12 PCS/VAS back and leg
Lumbar slipped Disc

Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
  • No waiting times
  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
£1130
£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
  • Full Medical and MRI scan Report
  • Copy of scan on CD
Popular

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810