open access

Vol 52, No 1 (2018)
Original research articles
Submitted: 2017-05-14
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Clinical and psychological outcome after surgery for lumbar spinal stenosis: A prospective observational study with analysis of prognostic factors

Mauro Dobran, Davide Nasi, Maurizio Gladi, Mattia Marinelli, Fabrizio Mancini, Maurizio Iacoangeli, Massimo Scerrati
DOI: 10.1016/j.pjnns.2017.12.002
·
Neurol Neurochir Pol 2018;52(1):70-74.

open access

Vol 52, No 1 (2018)
Original research articles
Submitted: 2017-05-14

Abstract

Background

The identification of psychological risk factors is important for the selection of patients before spinal surgery. Moreover, the effect of surgical decompression in lumbar spinal stenosis (LSS) on psychological outcome is not previously well analyzed.

Aim of paper

to investigate clinical and psychological outcome after surgery for LSS and the effect of depressive symptoms and anxiety on the clinical outcome.

Materials and methods

A total of 25 patients with symptomatic LSS underwent decompressive surgery with or without spinal stabilization were prospectively enrolled in this observational surgery. The Symptom Checklist-90-Revised (SCL-90-R) was used to assess global psychological distress with a summary score termed Global Severity Index (GSI) and single psychological disorders including depression (DEP) and anxiety (ANX). The clinical outcome of surgery was evaluated with the Oswestry Disability Index (ODI) and visual analogue scale (VAS) pain assessment.

Results

Compared with baseline, there was a statistically significant improvement in VAS, ODI and GSI after surgery (p<0.05) in all patients. Univariate analysis revealed that patients with high GSI and anxiety and depression scores had significantly higher ODI and VAS scores in the follow-up with a bad outcome.

Conclusions

Surgery for spinal stenosis was effective to treat pain and disability. In this prospective study baseline global psychological distress, depression and anxiety were associated with poorer clinical outcome.

Abstract

Background

The identification of psychological risk factors is important for the selection of patients before spinal surgery. Moreover, the effect of surgical decompression in lumbar spinal stenosis (LSS) on psychological outcome is not previously well analyzed.

Aim of paper

to investigate clinical and psychological outcome after surgery for LSS and the effect of depressive symptoms and anxiety on the clinical outcome.

Materials and methods

A total of 25 patients with symptomatic LSS underwent decompressive surgery with or without spinal stabilization were prospectively enrolled in this observational surgery. The Symptom Checklist-90-Revised (SCL-90-R) was used to assess global psychological distress with a summary score termed Global Severity Index (GSI) and single psychological disorders including depression (DEP) and anxiety (ANX). The clinical outcome of surgery was evaluated with the Oswestry Disability Index (ODI) and visual analogue scale (VAS) pain assessment.

Results

Compared with baseline, there was a statistically significant improvement in VAS, ODI and GSI after surgery (p<0.05) in all patients. Univariate analysis revealed that patients with high GSI and anxiety and depression scores had significantly higher ODI and VAS scores in the follow-up with a bad outcome.

Conclusions

Surgery for spinal stenosis was effective to treat pain and disability. In this prospective study baseline global psychological distress, depression and anxiety were associated with poorer clinical outcome.

Get Citation

Keywords

Lumbar spinal stenosis, Psychological outcome, Depression and anxiety

About this article
Title

Clinical and psychological outcome after surgery for lumbar spinal stenosis: A prospective observational study with analysis of prognostic factors

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 52, No 1 (2018)

Pages

70-74

DOI

10.1016/j.pjnns.2017.12.002

Bibliographic record

Neurol Neurochir Pol 2018;52(1):70-74.

Keywords

Lumbar spinal stenosis
Psychological outcome
Depression and anxiety

Authors

Mauro Dobran
Davide Nasi
Maurizio Gladi
Mattia Marinelli
Fabrizio Mancini
Maurizio Iacoangeli
Massimo Scerrati

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