Impact of preoperative depression on 2-year clinical outcomes following adult spinal deformity surgery: the importance of risk stratification based on type of psychological distress.

CONCLUSIONS A baseline clinical history of depression does not correlate with worse 2-year outcomes after ASD surgery after adjusting for baseline differences in comorbidities, health-related quality of life, and spinal deformity severity. Conversely, DRAM improved risk stratification of patient subgroups predisposed to achieving suboptimal surgical outcomes. The DRAM's MSPQ was more predictive than MCS and SRS mental domain for 2-year outcomes and may be a valuable tool for surgical screening.
PMID: 27153146 [PubMed - as supplied by publisher]

Source: Journal of Neurosurgery.Spine - May 5, 2016 Category: Neurosurgery Authors: Theologis AA, Ailon T, Scheer JK, Smith JS, Shaffrey CI, Bess S, Gupta M, Klineberg EO, Kebaish K, Schwab F, Lafage V, Burton D, Hart R, Ames CP, International Spine Study Group Tags: J Neurosurg Spine Source Type: research