The effects of psychological health on lumbar discectomy outcomes
Loading...
Date
2024-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
University of New Brunswick
Abstract
Lumbar disc herniations often require surgery, psychosocial factors, specifically depression, predict poor surgical outcomes. The study aimed to investigate the effects of preoperative depression on post-operative pain and disability following discectomy surgery. Psychological health was measured using the PHQ-8 and the Mental Component Score of the SF-12. Disability and pain were collected using the Oswestry Disability Index and Numeric Pain Rating Scales. Data included from 1104 patients (mean[SD]age = 43.90 [13.13]; 52% female sex) in Poisson Regression models showed depression increased the risk of both leg pain and overall poor surgical outcomes (IRR[95% CI]= 1.67[1.14 to 2.50] ; 1.88[1.48 to 2.40]; 1.50[0.99 to 2.29]; 1.67[1.29 to 2.16]; 1.56 1.09 to 2.24] ;1.72[1.40 to 2.10]; 1.61[1.07 to 2.43]; 1.90[ 1.46 to 2.47]; 1.92[1.20 to 3.09];2.08[1.51 to 2.86]; 1.90 [1.21 to 22.61], 1.93[1.55 to 2.40]) . Psychological factors do have influence on recovery following discectomy surgery and should be acknowledged pre-operatively.