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

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 d...

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Autores principales: Mazzucchi, Edoardo, La Rocca, Giuseppe, Cusumano, Davide, Bazzu, Paola, Pignotti, Fabrizio, Galieri, Gianluca, Rinaldi, Pierluigi, De Santis, Vincenzo, Sabatino, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10074599/
https://www.ncbi.nlm.nih.gov/pubmed/37034909
http://dx.doi.org/10.3389/fpsyg.2023.1070205
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author Mazzucchi, Edoardo
La Rocca, Giuseppe
Cusumano, Davide
Bazzu, Paola
Pignotti, Fabrizio
Galieri, Gianluca
Rinaldi, Pierluigi
De Santis, Vincenzo
Sabatino, Giovanni
author_facet Mazzucchi, Edoardo
La Rocca, Giuseppe
Cusumano, Davide
Bazzu, Paola
Pignotti, Fabrizio
Galieri, Gianluca
Rinaldi, Pierluigi
De Santis, Vincenzo
Sabatino, Giovanni
author_sort Mazzucchi, Edoardo
collection PubMed
description 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), Current Symptom Index (p = 0.001), Global Severity Index (p < 0.001), depression (p < 0.001), positive Symptom Total (p = 0.002), somatization (p = 0.001) and anxiety (p = 0.036). Obsessivity was correlated with other significant parameters, except GSI (Pearson’s correlation coefficient = 0.11). The ROC curve for the logistic model considering obsessivity as risk factor, has an area under the curve of 0.75. CONCLUSION: Pre-operative psychopathological symptoms can predict persistence of disability after LDF for DLSS. Future studies will evaluate the possibility of modifying post operative outcome through targeted treatment for psychological features emerged during pre-operative assessment.
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spelling pubmed-100745992023-04-06 The role of psychopathological symptoms in lumbar stenosis: A prediction model of disability after lumbar decompression and fusion Mazzucchi, Edoardo La Rocca, Giuseppe Cusumano, Davide Bazzu, Paola Pignotti, Fabrizio Galieri, Gianluca Rinaldi, Pierluigi De Santis, Vincenzo Sabatino, Giovanni Front Psychol Psychology 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), Current Symptom Index (p = 0.001), Global Severity Index (p < 0.001), depression (p < 0.001), positive Symptom Total (p = 0.002), somatization (p = 0.001) and anxiety (p = 0.036). Obsessivity was correlated with other significant parameters, except GSI (Pearson’s correlation coefficient = 0.11). The ROC curve for the logistic model considering obsessivity as risk factor, has an area under the curve of 0.75. CONCLUSION: Pre-operative psychopathological symptoms can predict persistence of disability after LDF for DLSS. Future studies will evaluate the possibility of modifying post operative outcome through targeted treatment for psychological features emerged during pre-operative assessment. Frontiers Media S.A. 2023-03-22 /pmc/articles/PMC10074599/ /pubmed/37034909 http://dx.doi.org/10.3389/fpsyg.2023.1070205 Text en Copyright © 2023 Mazzucchi, La Rocca, Cusumano, Bazzu, Pignotti, Galieri, Rinaldi, De Santis and Sabatino. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Mazzucchi, Edoardo
La Rocca, Giuseppe
Cusumano, Davide
Bazzu, Paola
Pignotti, Fabrizio
Galieri, Gianluca
Rinaldi, Pierluigi
De Santis, Vincenzo
Sabatino, Giovanni
The role of psychopathological symptoms in lumbar stenosis: A prediction model of disability after lumbar decompression and fusion
title The role of psychopathological symptoms in lumbar stenosis: A prediction model of disability after lumbar decompression and fusion
title_full The role of psychopathological symptoms in lumbar stenosis: A prediction model of disability after lumbar decompression and fusion
title_fullStr The role of psychopathological symptoms in lumbar stenosis: A prediction model of disability after lumbar decompression and fusion
title_full_unstemmed The role of psychopathological symptoms in lumbar stenosis: A prediction model of disability after lumbar decompression and fusion
title_short The role of psychopathological symptoms in lumbar stenosis: A prediction model of disability after lumbar decompression and fusion
title_sort role of psychopathological symptoms in lumbar stenosis: a prediction model of disability after lumbar decompression and fusion
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10074599/
https://www.ncbi.nlm.nih.gov/pubmed/37034909
http://dx.doi.org/10.3389/fpsyg.2023.1070205
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