Patients with a depressive and/or anxiety disorder can achieve optimum Long term outcomes after surgery for grade 1 spondylolisthesis: Analysis from the quality outcomes database (QOD)

•A depressive disorder may impact short-term outcomes among patients undergoing surgery for low grade spondylolisthesis.•Longer term outcomes are not affected by either a depressive or anxiety disorder.•Such patients should be counseled and managed appropriately preoperatively so that their outcomes...

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Veröffentlicht in:Clinical neurology and neurosurgery 2020-10, Vol.197, p.106098-106098, Article 106098
Hauptverfasser: Kashlan, Osama, Swong, Kevin, Alvi, Mohammed Ali, Bisson, Erica F., Mummaneni, Praveen V., Knightly, John, Chan, Andrew, Yolcu, Yagiz U., Glassman, Steven, Foley, Kevin, Slotkin, Jonathan R., Potts, Eric, Shaffrey, Mark, Shaffrey, Christopher I., Haid, Regis W., Fu, Kai-Ming, Wang, Michael Y., Asher, Anthony L., Bydon, Mohamad, Park, Paul
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Sprache:eng
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Zusammenfassung:•A depressive disorder may impact short-term outcomes among patients undergoing surgery for low grade spondylolisthesis.•Longer term outcomes are not affected by either a depressive or anxiety disorder.•Such patients should be counseled and managed appropriately preoperatively so that their outcomes can be optimized. In the current study, we sought to compare baseline demographic, clinical, and operative characteristics, as well as baseline and follow-up patient reported outcomes (PROs) of patients with any depressive and/or anxiety disorder undergoing surgery for low-grade spondylolisthesis using a national spine registry. The Quality Outcomes Database (QOD) was queried for patients undergoing surgery for Meyerding grade 1 lumbar spondylolisthesis undergoing 1–2 level decompression or 1 level fusion at 12 sites with the highest number of patients enrolled in QOD with 2-year follow-up data. Of the 608 patients identified, 25.6 % (n = 156) had any depressive and/or anxiety disorder. Patients with a depressive/anxiety disorder were less likely to be discharged home (p 
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2020.106098