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Preoperative Resilience and Improvement in Patient-Reported Outcomes After Lumbar Spinal Fusion – Lumbar Fusion

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The article explores the impact of pre-operative resilience on 1-year post-operative outcomes following lumbar spinal fusion. A study conducted at a single-center institution found that patients with low resilience had worse outcomes compared to those with high resilience. Factors such as gender, BMI, and preoperative Global Physical and Mental Health scores were associated with resilience levels. The study concluded that low pre-operative resilience can negatively affect patient reported outcomes and suggests that resilience is a modifiable risk factor that surgeons should consider addressing through targeted interventions for at-risk patient groups

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced spinal hospital in London

Published article

: Low pre-operative resilience can negatively affect patient reported outcomes 1-year after lumbar spinal fusion. Resiliency is a potentially modifiable risk factor, and surgeons should consider targeted interventions for at-risk patient groups.

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World Neurosurg. 2024 Apr 5:S1878-8750(24)00553-9. doi: 10.1016/j.wneu.2024.03.168. Online ahead of print. ABSTRACT BACKGROUND: Currently, it is incompletely understood how pre-operative resilience affects 1-year post-operative outcomes following lumbar spinal fusion. METHODS: Patients undergoing open lumbar spinal fusion at a single-center institution were identified between November 2019 to September 2022. Pre-operative resilience was assessed using the Brief,

World Neurosurg. 2024 Apr 5:S1878-8750(24)00553-9. doi: 10.1016/j.wneu.2024.03.168. Online ahead of print.

ABSTRACT

BACKGROUND: Currently, it is incompletely understood how pre-operative resilience affects 1-year post-operative outcomes following lumbar spinal fusion.

METHODS: Patients undergoing open lumbar spinal fusion at a single-center institution were identified between November 2019 to September 2022. Pre-operative resilience was assessed using the Brief Resilience Scale (BRS). Demographic data at baseline including age, gender, comorbidities, and BMI was extracted. Patient reported outcome measures including ODI, PROMIS Global Physical Health (GPH), PROMIS Global Mental Health (GMH), and EuroQol5 scores were collected before the surgery and at 3-months and 1-year post-operatively. Bivariate correlation was conducted between BRS scores and outcome measures at 3-months and 1-year post-operatively.

RESULTS: 93 patients had baseline and 1-year outcome data. Compared to patients with high resilience, patients in the low resilience group had a higher percentage of females (69.4% vs 43.9%, p=0.02), a higher BMI (32.7 vs 30.1, p=0.03), and lower preoperative GPH (35.8 vs 38.9, p=0.045), GMH (42.2 vs 49.2, p<0.001), and EuroQol scores (0.56 vs 0.61, p=0.01). At 3-months post-operatively, resilience was moderately correlated with GMH (r=0.39) and EuroQol (r=0.32). Similarly, at 1 year post-operatively, resilience was moderately correlated with GMH (r=0.33), and EuroQol (r=0.34). Comparable results were seen in multivariable regression analysis controlling for age, gender, number of levels fused, BMI, CCI, procedure, anxiety/depression, and complications.

: Low pre-operative resilience can negatively affect patient reported outcomes 1-year after lumbar spinal fusion. Resiliency is a potentially modifiable risk factor, and surgeons should consider targeted interventions for at-risk patient groups.

PMID:38583559 | DOI:10.1016/j.wneu.2024.03.168

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Preoperative Resilience and Improvement in Patient-Reported Outcomes After Lumbar Spinal Fusion

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World Neurosurg. 2024 Apr 5:S1878-8750(24)00553-9. doi: 10.1016/j.wneu.2024.03.168. Online ahead of print. ABSTRACT BACKGROUND: Currently, it is incompletely understood how pre-operative resilience affects 1-year post-operative outcomes following lumbar spinal fusion. METHODS: Patients undergoing open lumbar spinal fusion at a single-center institution were identified between November 2019 to September 2022. Pre-operative resilience was assessed using the Brief

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