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J Neurol Surg A Cent Eur Neurosurg 2016; 77(05): 432-440
DOI: 10.1055/s-0036-1583179
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Psychosocial Factors in Patients Indicated for Lumbar Spinal Stenosis Surgery

Nina Nechanicka
1   Department of Neurosurgery, Regional Hospital Liberec, Liberec, Czech Republic
,
Pavel Barsa
1   Department of Neurosurgery, Regional Hospital Liberec, Liberec, Czech Republic
,
Pavel Harsa
2   1st Faculty of Medicine – General Teaching Hospital in Prague, Charles University – Psychiatric Clinic, Prague, Czech Republic
› Author Affiliations
Further Information

Publication History

18 September 2015

24 February 2016

Publication Date:
04 May 2016 (online)

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Abstract

In the context of the interdisciplinary care of patients with chronic back pain, surgery is an option for those who do not benefit from conservative treatment. Psychological assessment prior to back surgery aims to identify suitable candidates for surgery and predict possible complications or poor treatment effects. The literature suggests that psychosocial factors are important outcome predictors of lumbar spinal surgery; however, there is not enough empirical evidence to show that early identification and treatment of these factors help improve surgical outcome. This review discusses the possible psychosocial risk factors in patients with lumbar spinal stenosis who are undergoing decompression or stabilization surgery, shows the association between presurgical psychological parameters and surgical treatment outcome, and describes the characteristics of our pilot study to implement presurgical psychological assessment in routine clinical practice.

Keywords

lumbar spinal stenosis - spinal surgery - psychosocial prognostic factors - outcome measures - review article
 

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