Correlation of the MMPI with lumbosacral spine fusion results. Prospective study

This study was done to determine whether the Minnesota Multiphasic Personality Inventory (MMPI) aided in selection of appropriate lumbosacral fusion candidates, compared with those selected without an MMPI. Postoperative end-result ratings were done, categorizing patients into two groups: one group of 62 patients with a preoperative MMPI and a second group of 23 patients with no preoperative MMPI. Thirty patients with normal MMPIs, strong objective indications for initial surgery, and absence of compensation and/or litigation factors had 88% good or excellent end-results. Twenty-three patients had surgery without MMPI evaluation. Of 21 available for follow-up, 86% had good or excellent end-results. "Warning" physical signs aided selection of appropriate surgical candidates in the patients who did not have an MMPI.