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Related Concept Videos

Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

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Psychologic readiness for adult spinal deformity surgery: practical screening and optimization pathways.

Junho Song1, Bassel G Diebo2, Virginie Lafage3

  • 1Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY, 10029, USA. junhosong96@gmail.com.

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|June 21, 2026
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Summary

Assessing psychologic readiness before adult spinal deformity (ASD) surgery is crucial. A practical screening framework helps identify barriers and optimize patient outcomes without delaying necessary procedures.

Keywords:
Adult spinal deformity surgeryMental healthPsychologicSpine surgery

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Area of Science:

  • Orthopedic Surgery
  • Psychology
  • Spine Deformity Correction

Background:

  • Adult spinal deformity (ASD) surgery aims to improve patient outcomes through radiographic correction.
  • Psychologic readiness is increasingly recognized as a key factor influencing recovery and satisfaction after ASD surgery.

Purpose of the Study:

  • To review existing data on psychologic readiness in the context of ASD surgery.
  • To present a practical framework for screening and optimizing psychologic readiness in patients undergoing ASD surgery.

Main Methods:

  • A comprehensive literature review was conducted using PubMed and Embase.
  • Searches focused on ASD surgical populations, examining perioperative outcomes related to mental health, pain coping, sleep, opioid use, cognitive function, and expectations.
  • Broader spine surgery literature was included where ASD-specific data were limited.

Main Results:

  • Preoperative factors such as mental health symptoms, pain coping, sleep quality, opioid exposure, cognitive status, and expectation alignment significantly impact disability, satisfaction, and recovery after ASD surgery.
  • These factors are best utilized for risk stratification and targeted interventions rather than as absolute surgical contraindications.
  • A practical workflow involving brief screening, selective add-on tools, tiered classification, and standardized responses was proposed.

Conclusions:

  • Psychologic readiness assessment is feasible in adult spinal deformity practice through a brief core screen and tiered response pathway.
  • This approach enables surgeons to identify and address readiness barriers, align patient expectations, and coordinate optimization strategies effectively.
  • The proposed framework aims to enhance patient outcomes and satisfaction without causing undue delays in indicated surgical treatments.