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Do surgical expectations change depending on first time surgery or reoperation? A prospective cohort study in lumbar
G Vilà-Canet1, A Covaro2, A García de Frutos2
1Institut Universitari Quirón-Dexeus, ICATME, Universitat Autónoma de Barcelona, C/Sabino Arana 5-19, 08028, Barcelona, Spain. gvilacanet@gmail.com.
Purpose:
To assess whether patients undergoing lumbar spine surgery for the first time (Group 1) had different expectations from those undergoing lumbar spine surgery for a failed previous procedure (Group 2).
Methods:
A prospective study that included 77 patients. A set of self-reported questionnaires was pre-operatively administered including VAS, Oswestry Disability Index (ODI), Zung Depression Scale and the NASS lumbar spine questionnaire (expectations scale).
Results:
Fifty-six patients in Group 1 and 21 patients in Group 2. Both groups had high expectations with regard to the surgical procedure (n.s.). Depressed patients, despite being more disabled than non-depressed according to ODI (p 0.001), had similar expectations than non-depressed patients (n.s.).
Conclusion:
Patients' expectations remained very high despite having had a failed previous surgery for the same procedure.
