Correlation of mental health with physical function, pain, and disability following anterior lumbar interbody fusion

Poor Mental Health Negatively Impacts Outcomes After Spinal Surgery: A Narrative Review

“…In a retrospective study by Diebo et al,15 the authors evaluated the impact of low MCS-12 scores on outcomes after surgery for cervical radiculopathy, finding that patients with a lower baseline mental health score had less improvement and significantly worse postoperative PROMs (NDI, VAS neck, and VAS arms). Moreover, in a retrospective study of 166 patients undergoing anterior lumbar interbody fusion, MCS-12 scores positively correlated to PROMIS-PF scores preoperatively (| r | = 0.379) and at 6 weeks (| r | = 0.387) ( P ≤ 0.016, all); the MCS-12 was negatively correlated to the VAS back at 6 months (| r | = 0.359), the VAS leg at 6 weeks (| r | = 0.475) and 12 weeks (| r | = 0.422), and the ODI up to 6 months postoperatively (| r | = 0.417–0.526) 16…”

“…Moreover, in a retrospective study of 166 patients undergoing anterior lumbar interbody fusion, MCS-12 scores positively correlated to PROMIS-PF scores preoperatively (|r| = 0.379) and at 6 weeks (|r| = 0.387) (P ≤ 0.016, the MCS-12 was negatively correlated to the VAS back at 6 months (|r| = 0.359), the VAS leg at 6 weeks (|r| = 0.475) and 12 weeks (|r| = 0.422), and the ODI up to 6 months postoperatively (|r| = 0.417-0.526). 16 Important takeaways from these studies are that there may be a significant difference in potential for clinical improvement between patients with a lower MCS-12 preoperatively and those with a higher MCS-12. Nevertheless, in all these studies, patients ultimately did improve after surgery, regardless of the preoperative MCS-12 score.…”

Prognostic Value in Preoperative Veterans RAND-12 Mental Component Score on Clinical Outcomes for Patients Undergoing Minimally Invasive Lateral Lumbar Interbody Fusion

“…Further, this technique allows for stronger constructs to be implanted compared to other interbody fusion techniques [ 1 , 2 ]. While LLIF is highly efficacious, current spine literature has demonstrated that preoperative mental health scores (Patient Health Questionnaire-9 [PHQ-9], 12-item Short Form health survey [SF-12] mental composite score [MCS], 36-item Short Form health survey [SF-36] MCS) may influence postoperative patient-reported outcome measures (PROMs) across many spine surgeries [ 2 - 5 ]. As such, an accurate understanding on the impact of a patient’s reported psychological state on outcomes following LLIF is imperative [ 3 - 5 ].…”