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
Jan 19, 2008·The Spine Journal : Official Journal of the North American Spine Society·Anne G CopayLeah Y Carreon
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
Jun 13, 2009·Spine·Anne F MannionDieter Grob
Apr 7, 2010·The Spine Journal : Official Journal of the North American Spine Society·Eugene J Carragee, Ivan Cheng
Dec 3, 2010·Spine·Adam PearsonJames Weinstein
Mar 27, 2012·Journal of Neurosurgery. Spine·Christopher P AmesChristopher I Shaffrey
Jul 25, 2012·Spine·Friederike LattigAnne F Mannion
May 21, 2013·The Spine Journal : Official Journal of the North American Spine Society·Saniya S GodilMatthew J McGirt
May 30, 2013·JAMA Surgery·Heather LyuMartin A Makary
Aug 1, 2015·Global Spine Journal·Patrick VavkenDino Samartzis
Oct 3, 2015·Global Spine Journal·Daniel J EllisMichael H Weber
Nov 19, 2015·Neurosurgery·Justin S SmithUNKNOWN International Spine Study Group
Apr 8, 2016·Neurosurgical Review·Christopher D WitiwRichard G Fessler
Mar 25, 2017·Journal of Neurosurgery. Spine·Charles H CrawfordSteven D Glassman
Jun 1, 2017·World Neurosurgery·Gregory M MundisUNKNOWN International Spine Study Group
Jun 29, 2017·Spine·María J Díaz-ArribasOscar S Martín-Pariente
Jul 14, 2017·Spine·Robert K MerrillSteven J McAnany
Mar 24, 2018·Journal of Neurosurgery. Spine·Jay M LevinMichael P Steinmetz
May 28, 2019·International Journal of Spine Surgery·Sigurd BervenKushagra Verma
Oct 10, 2019·Neurosurgery·Hesham Mostafa ZakariaVictor Chang
Nov 17, 2019·Spine Deformity·Jussi P RepoKati Kyrölä
Jan 25, 2020·Spine Deformity·Jussi P RepoKati Kyrölä