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. 2015 Nov;24(11):2370-6.
doi: 10.1007/s00586-015-4201-x. Epub 2015 Aug 27.

Do surgical expectations change depending on first time surgery or reoperation? A prospective cohort study in lumbar spine surgery

G Vilà-Canet  1 , A Covaro  2 , A García de Frutos  2 , M T Ubierna  2 , S Rodríguez-Alabau  2 , S Mojal  3 , E Cáceres  2
Affiliations

Do surgical expectations change depending on first time surgery or reoperation? A prospective cohort study in lumbar spine surgery

G Vilà-Canet et al. Eur Spine J. 2015 Nov.

Abstract

Purpose: To assess whether patients undergoing lumbar spine surgery for the first time (Group 1) had different expectations from those undergoing lumbar spine surgery for a failed previous procedure (Group 2).

Methods: A prospective study that included 77 patients. A set of self-reported questionnaires was pre-operatively administered including VAS, Oswestry Disability Index (ODI), Zung Depression Scale and the NASS lumbar spine questionnaire (expectations scale).

Results: Fifty-six patients in Group 1 and 21 patients in Group 2. Both groups had high expectations with regard to the surgical procedure (n.s.). Depressed patients, despite being more disabled than non-depressed according to ODI (p 0.001), had similar expectations than non-depressed patients (n.s.).

Conclusion: Patients' expectations remained very high despite having had a failed previous surgery for the same procedure.

Keywords: First procedure; Lumbar spine surgery; Reoperation; Surgical expectations.

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