The role of psychopathological symptoms in lumbar stenosis: A prediction model of disability after lumbar decompression and fusion

Edoardo Mazzucchi, Giuseppe La Rocca, Davide Cusumano, Paola Bazzu, Fabrizio Pignotti, Gianluca Galieri, Pierluigi Rinaldi, Vincenzo De Santis, Giovanni Sabatino

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Introduction: Pre-operative psychological factors may influence outcome after spine surgery. The identification of patients at risk of persisting disability may be useful for patient selection and possibly to improve treatment outcome. Methods: Patients with neurogenic claudication associated with degenerative lumbar spinal stenosis (DLSS) performed a psychological assessment before lumbar decompression and fusion (LDF) surgery. The following tests were administrated: Visual Analogic Scale; Symptom Checklist-90 (SCL-90-R), Short Form-36 and Oswestry Disability Index (ODI). The primary outcome was ODI score lower than 20. A cross correlation matrix (CCM) was carried out with significant variables after univariate analysis and a linear logistic regression model was calculated considering the most significant variable. Results: 125 patient (61 men and 64 women) were included in the study. Seven parameters of the SCL-90-R scale showed statistical significance at the univariate analysis: obsessivity (p < 0.001), C
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaFrontiers in Psychology
Volume14
DOI
Stato di pubblicazionePubblicato - 2023

Keywords

  • anxiety
  • bio-psychosocial model
  • obsessivity
  • lumbo-sacral instrumentation
  • minimally invasive spine surgery
  • depression

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