Clinical and neuropsychiatric correlates of lumbar spinal surgery in older adults: results of a pilot study

Jordan F. Karp; Jonathan McGovern; Megan M. Marron; Peter Gerszten; Debra K. Weiner; David Okonkwo; Adam S. Kanter

doi:10.2217/pmt.16.9

Clinical and neuropsychiatric correlates of lumbar spinal surgery in older adults: results of a pilot study

Jordan F. Karp, Jonathan McGovern, Megan M. Marron, Peter Gerszten, Debra K. Weiner, David Okonkwo, Adam S. Kanter

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

AIM: To improve selection of older lumbar surgical candidates, we surveyed correlates of functioning and satisfaction with surgery.

MATERIALS & METHODS: Prospective sample at lumbar spine surgery clinic. Patients (n = 48) were evaluated before surgery and after 3 months. Dependent variables were functioning and surgical satisfaction.

RESULTS: Baseline variables associated with disability at 3 months included cognitive status and widespread pain. There was clinically significant improvement with moderate effects sizes for anxiety and depression at follow-up. Patients with at least a 30% improvement in disability had better physical health-related quality of life and were less likely to report widespread pain before surgery.

CONCLUSION: Although preliminary, two novel potential predictors of lumbar surgery outcome include diminished cognitive functioning and widespread pain. Further study of these variables on post-surgical functioning and satisfaction may improve patient selection.

Original language	English (US)
Pages (from-to)	543-552
Number of pages	10
Journal	Pain Management
Volume	6
Issue number	6
DOIs	https://doi.org/10.2217/pmt.16.9
State	Published - Nov 1 2016
Externally published	Yes

Keywords

aging
complications
lumbar spine
predictors
psychiatric
spinal stenosis

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.2217/pmt.16.9

Cite this

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abstract = "AIM: To improve selection of older lumbar surgical candidates, we surveyed correlates of functioning and satisfaction with surgery.MATERIALS & METHODS: Prospective sample at lumbar spine surgery clinic. Patients (n = 48) were evaluated before surgery and after 3 months. Dependent variables were functioning and surgical satisfaction.RESULTS: Baseline variables associated with disability at 3 months included cognitive status and widespread pain. There was clinically significant improvement with moderate effects sizes for anxiety and depression at follow-up. Patients with at least a 30% improvement in disability had better physical health-related quality of life and were less likely to report widespread pain before surgery.CONCLUSION: Although preliminary, two novel potential predictors of lumbar surgery outcome include diminished cognitive functioning and widespread pain. Further study of these variables on post-surgical functioning and satisfaction may improve patient selection.",

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AU - Karp, Jordan F.

AU - McGovern, Jonathan

AU - Marron, Megan M.

AU - Gerszten, Peter

AU - Weiner, Debra K.

AU - Okonkwo, David

AU - Kanter, Adam S.

PY - 2016/11/1

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KW - complications

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KW - predictors

KW - psychiatric

KW - spinal stenosis

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Clinical and neuropsychiatric correlates of lumbar spinal surgery in older adults: results of a pilot study

Abstract

Keywords

ASJC Scopus subject areas

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