gms | German Medical Science

68th Annual Meeting of the German Society of Neurosurgery (DGNC)
7th Joint Meeting with the British Neurosurgical Society (SBNS)

German Society of Neurosurgery (DGNC)

14 - 17 May 2017, Magdeburg

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Predictors of clinical outcome in lumbar surgery: Evaluation of physical, mental and social factors

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  • Ehab Shiban - Klinikum rechts der Isar TU München , München, Deutschland
  • Shiban Youssef - experimentelle Psychologie, Universität Regensburg, Regensburg, Deutschland
  • Thiel Jeff - Klinikum rechts der Isar TU München , Munich, Deutschland
  • Bruckbauer Florian - Klinikum rechts der Isar TU München , Munich, Deutschland
  • Florian Ringel - Universitätsklinik Mainz , Klinikum rechts der Isar TU München , München, Deutschland
  • Jens Lehmberg - Klinikum rechts der Isar TU München , München, Deutschland
  • Bernhard Meyer - Klinikum rechts der Isar, Technische Universität München, Neurochirurgische Klinik und Poliklinik, München, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocDi.01.04

doi: 10.3205/17dgnc180, urn:nbn:de:0183-17dgnc1808

Published: June 9, 2017

© 2017 Shiban et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: We aimed to identify potential risk factor for unfavourable outcome following lumbar spine surgery for degenerative disc disease.

Methods: Study design: Prospective cohort study Patients were asked preoperatively to complete a series of questionnaires, including the Oswestry Disability Index (ODI), the anxiety sensitivity index (ASI-3), the SF-36, the visual analogue scale for pain (VAS), the Berliner Social Support Scale, the PTSS-10 for PTSD symptoms and indicate demographic variables concerning education or partnership for example. The evaluation was based on the ODI filled out 1 year postoperatively. The univariate and multivariate association between risk factors and outcome parameter (ODI) was assessed with correlation coefficients and multivariate logistic regression.

Results: 99 patients met all inclusion criteria. 50 patients were male (50.5%); mean age was 60 years. Most patients were married or in a steady relationship (74.8%). Preoperatively age (r=0.230; p=0.025), pain (VAS) (r=0.380; p<0,001), trait anxiety (r=0.244; p=0.019), PTSS (r=0.222; p=0.034), ODI (r=0.404; p<0,001), depression score ADS-K (r=0.258; p=0.013) and low education (r=-0.281; p=0.009) and lower SF-36 Physical Composite Score (r=-0,487; p<0,001) correlated with worse ODI scores at 1 year.

Conclusion: Clinical outcome one year after surgery is influenced by age and physical status before surgery. Mental comorbidities and social status are also influential on clinical outcome. A preoperative screening tool seems feasible.