The Importance of Psychological Testing in Predicting the Effectiveness of Lumbar Spine Surgery

Krutko, Aleksandr; Leonova, Olga N.; Cherepanov, Eugene A.

doi:10.1590/s1808-185120181703193836

Cited by 2 publications

(2 citation statements)

References 43 publications

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“…Kadimpati et al (2015), when evaluating pain-related factors in 595 individuals with chronic conditions, identified a contribution of neuroticism to catastrophizing and anxiety. Catastrophic thoughts have also been related to prognosis (Krutko et al, 2018;Wertli et al, 2014), being an important element to be investigated in future longitudinal studies.…”

Section: Discussionmentioning

confidence: 99%

Low back pain: biopsychosocial aspects of chronic and acute pain

ALEXANDRE

Serafini

2022

Estud. psicol. (Campinas)

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Chronic low back pain is a highly prevalent pathology, which has unclear associations with psychosocial aspects. This study investigated differences between patients with chronic low back pain (n = 25) and acute low back pain (n = 20) and verified the effect of the variables assessed on the pain mean. The design was cross-sectional, and the instruments applied were: sociodemographic interviews, Brief Pain Inventory, Beck Depression Inventory II, Hamilton Anxiety Rating Scale, Personality Factor Battery, Social Support Scale and Pain Catastrophizing Scale. The chronic pain group had significantly higher means of pain intensity, anxiety and catastrophic thoughts. In the regression analysis, the factor Depression of the Personality Factor Battery and belonging to the chronic pain group were found as predictors of the mean pain in the sample studied. It is understood that psychological factors are associated with the pain condition and require further investigation.

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Section: Discussionmentioning

confidence: 99%

Low back pain: biopsychosocial aspects of chronic and acute pain

ALEXANDRE

Serafini

2022

Estud. psicol. (Campinas)

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“…Under non-inferiority design, the sample size was calculated for ODI difference between the values before intervention and 3 months after. Assuming mean of ODI difference is 39 and SD of ODI difference is 19.3 in both groups (based on our own published data (18.8 at 1-year follow-up, 27 19.3 at 3-month follow-up 28 ), the noninferiority margin δ=12, for a one-sided Mann-Whitney U test with a critical significance p=0.05 and test power is 80%, it is enough to allocate 38 patients. Considering the 20% loss, the total sample size will be 96 patients, 48 in each group.…”

Section: Sample Sizementioning

confidence: 99%

MIS-TLIF versus O-TLIF for single-level degenerative stenosis: study protocol for randomised controlled trial

2021

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IntroductionPatients with symptomatic single-level combination of degenerative stenosis and low-grade spondylolisthesis are often treated by nerve root decompression and spinal fusion. The gold standard is traditional open decompression and fusion, but minimally invasive method is more and more prevailing. However, there is lack of high-quality studies comparing these two techniques in order to obtain the advantages and certain indications to use one of these methods. The current study includes clinical, safety and radiological endpoints to determine the effectiveness of minimally invasive decompression and fusion (MIS-TLIF) over the traditional open one (O-TLIF).Methods and analysisAll patients aged 40–75 years with neurogenic claudication or bilateral radiculopathy caused by single-level combination of degenerative stenosis and low-grade spondylolisthesis, confirmed by MRI with these symptoms persisting for at least 3 months prior to surgery, are eligible. Patients will be randomised into MIS-TLIF or traditional O-TLIF. The primary outcome measure is Oswestry Disability Index at 3-month follow-up term. The secondary outcomes are patient-reported outcome measures by the number of clinical scales, radiological parameters including sagittal balance parameters, safety endpoints and cost-effectiveness of each method. All patients will be analysed preoperatively, as well as on the 14th day of hospital stay (or on the day of hospital discharge), 3 months, 6 months, 12 months and 24 months postoperatively. The study has the design of a parallel group to demonstrate the non-inferior clinical results of MIS-TLIF compared with the traditional O-TLIF.Ethics and disseminationThe study will be performed according to Helsinki Declaration. The study protocol was approved by the Local Ethical Committee of Priorov National Medical Research Center of Traumatology and Orthopedics in August 2020. Preliminary and final results will be presented in peer-reviewed journals, especially orthopaedic and spine surgery journals, at national and international congresses.Trial registration numberNCT04594980.

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The Importance of Psychological Testing in Predicting the Effectiveness of Lumbar Spine Surgery

Cited by 2 publications

References 43 publications

Low back pain: biopsychosocial aspects of chronic and acute pain

Low back pain: biopsychosocial aspects of chronic and acute pain

MIS-TLIF versus O-TLIF for single-level degenerative stenosis: study protocol for randomised controlled trial

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