Depression Increases Posterior Cervical Decompression and Fusion Revision Rates and Diminishes Neck Disability Index Improvement

Study Design. A retrospective cohort study. Objective. To determine if depression and/or anxiety significantly affect patient-reported outcome measures (PROMs) after posterior cervical decompression and fusion (PCDF). Summary of Background Data. Mental health diagnoses are receiving increased recognition for their influence of outcomes after spine surgery. The magnitude that mental health disorders contribute to patient-reported outcomes following PCDF requires increased awareness and understanding. Materials and Methods. A review of electronic medical records identified patients who underwent a PCDF at a single institution during the years 2013–2020. Patients were placed into either depression/anxiety or nondepression/anxiety group based on their medical history. A delta score (∆) was calculated for all PROMs by subtracting postoperative from preoperative scores. χ2 tests and t tests were utilized to analyze categorical and continuous data, respectively. Regression analysis determined independent predictors of change in PROMs. Alpha was set at 0.05. Results. A total of 195 patients met inclusion criteria, with 60 (30.8%) having a prior diagnosis of depression/anxiety. The depression/anxiety group was younger (58.8 vs. 63.0, P=0.012), predominantly female (53.3% vs. 31.9%, P=0.007), and more frequently required revision surgery (11.7% vs. 0.74%, P=0.001). In addition, they had worse baseline mental component (MCS-12) (42.2 vs. 48.6, P
Source: Spine - Category: Orthopaedics Tags: Surgery Source Type: research