Patient Expectations of Adult Spinal Deformity Correction Surgery.

World Neurosurgery
Won Hyung A RyuRichard G Fessler

Abstract

There is a growing interest in examining preoperative expectations as a potential predictor of postoperative outcome. However, it has never been studied in the setting of adult spinal deformity (ASD). This study aims to characterize patient expectations before ASD surgery and examine the relationship between preoperative expectation and postoperative patient-reported outcomes (PROs). Analysis of prospectively collected clinical and PRO data was performed on patients who underwent ASD surgery. Inclusion criteria were age >18 years, a diagnosis of ASD, >3 vertebral level instrumentation, and completed pre- and postoperative surveys. The preoperative expectation survey included expectations of surgical outcome, pain reduction, complications, and the duration of postoperative recovery. Relationships between patient expectations and PROs were assessed. Twenty-seven patients who underwent operative management of ASD met the inclusion criteria. In their preoperative survey, 66% of patients expected highly successful surgery, whereas 22% had a moderate expectation of complications. Patients anticipated an average 71% reduction in back pain (range 42%-100%) and 68% reduction in leg pain (range 0%-100%). Patients who met their expectatio...Continue Reading

References

May 23, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Friederike LattigAnne F Mannion
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Mar 27, 2012·Journal of Neurosurgery. Spine·Christopher P AmesChristopher I Shaffrey
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May 30, 2013·JAMA Surgery·Heather LyuMartin A Makary
Mar 25, 2017·Journal of Neurosurgery. Spine·Charles H CrawfordSteven D Glassman
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Jun 29, 2017·Spine·María J Díaz-ArribasOscar S Martín-Pariente
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