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Preoperative risk factors for nonsatisfaction after lumbar interbody fusion – Lumbar Fusion

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The article discusses the high variation in patient-reported success rates following surgical management of patients with low back pain (LBP). The study aimed to identify valuable preoperative clinical risk factors associated with a non-satisfactory patient-reported outcome after surgery. Data from the Danish surgical spine database was used to analyze patients undergoing single-level fusions. The results showed that patients who reported treatment nonsatisfaction had higher preoperative VAS scores for back and leg pain, lower preoperative EQ-5D scores, and no significant differences in age, body mass index, or duration of back pain. The study concludes that low preoperative EQ-5D scores and high VAS leg and back pain scores are predictive of patient nonsatisfaction after surgery and could be useful in preoperative screening and managing patient expectations

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised spinal centre in London

Published article

INTRODUCTION: Low back pain (LBP) is a common cause of impaired quality of life and disability and studies regarding surgical management of patients with LBP show a high variation in patient-reported success rate.

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Brain Spine. 2024 Mar 22;4:102784. doi: 10.1016/j.bas.2024.102784. eCollection 2024. ABSTRACT INTRODUCTION: Low back pain (LBP) is a common cause of impaired quality of life and disability and studies regarding surgical management of patients with LBP show a high variation in patient-reported success rate. RESEARCH QUESTION: To find valuable preoperative clinical risk factors and variables associated,

Brain Spine. 2024 Mar 22;4:102784. doi: 10.1016/j.bas.2024.102784. eCollection 2024.

ABSTRACT

INTRODUCTION: Low back pain (LBP) is a common cause of impaired quality of life and disability and studies regarding surgical management of patients with LBP show a high variation in patient-reported success rate.

RESEARCH QUESTION: To find valuable preoperative clinical risk factors and variables associated with a non-satisfactory patient-reported outcome following surgery.

MATERIALS AND METHODS: The Danish surgical spine database (DaneSpine) was used to collect eight years of pre- and postoperative data on patients undergoing single-level fusions with either posterior- (PLIF) or transforaminal lumbar interbody fusions (TLIF). The primary outcome was patient nonsatisfaction. We collected data on European Quality of Life-5 Dimensions (EQ-5D), visual analogue scale (VAS), Oswestry Disability Index (ODI) score, pain intensity, duration of back pain, previous discectomy, and expectations regarding return to work after surgery at 2-year follow-up.

RESULTS: The cohort included 453 patients of which 19% reported treatment nonsatisfaction. The nonsatisfaction group demonstrated higher preoperative VAS scores for back pain (75 ± 19 vs. 68 ± 21, p = 0.006) and leg pain (65 ± 25 vs. 58 ± 28, p = 0.004). The preoperative EQ-5D score was significantly lower in the nonsatisfaction group (0.203 + 0.262 vs. 0.291 ± 0.312, p = 0.016). There was no statistical significance between patient nonsatisfaction and preoperative ODI score, age, body mass index, duration of back pain or expectations regarding return to work after surgery.

DISCUSSION AND : Low preoperative EQ-5D scores and high VAS leg and back pain scores were statistically significant with patient nonsatisfaction following surgery and may prove to be valuable tools in the preoperative screening and alignment of patient expectations.

PMID:38571556 | PMC:PMC10987792 | DOI:10.1016/j.bas.2024.102784

The London Spine Unit : best recognised spinal centre in London

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Preoperative risk factors for nonsatisfaction after lumbar interbody fusion

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Brain Spine. 2024 Mar 22;4:102784. doi: 10.1016/j.bas.2024.102784. eCollection 2024. ABSTRACT INTRODUCTION: Low back pain (LBP) is a common cause of impaired quality of life and disability and studies regarding surgical management of patients with LBP show a high variation in patient-reported success rate. RESEARCH QUESTION: To find valuable preoperative clinical risk factors and variables associated

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