PSYCHOLOGICAL BURDENS IN LUMBAR SPINAL STENOSIS: THE UNDERRATED INFLUENCE OF PRE-OPERATIVE DEPRESSION AND ANXIETY ON SURGICAL OUTCOMES AND QUALITY OF LIFE

Uysal E., Çine H. Ş., Azizoğlu S. İ., Çakaloğlu H. C., Yavuz A. Y., Yaşar A. H., ...More

Journal of Turkish Spinal Surgery, vol.36, no.1, pp.1-9, 2025 (Scopus, TRDizin) identifier identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 1
  • Publication Date: 2025
  • Doi Number: 10.4274/jtss.galenos.2024.99609
  • Journal Name: Journal of Turkish Spinal Surgery
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.1-9
  • Keywords: Health-related quality of life, Hospital Anxiety and Depression Scale, lumbar spinal stenosis
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes

Abstract

Objective: This study investigated the impact of pre-operative anxiety and depression on health-related quality of life (H-RQOL) after surgery for lumbar spinal stenosis (LSS) surgery. Materials and Methods: We reviewed 152 consecutive patients with single-level LSS who underwent laminectomy or laminectomy with fusion. With the use of pre-operative Hospital Anxiety and Depression Scale to evaluate H-RQOL, patients were divided into (A+)/(A-) or (D+)/ (D-) according to the positivity of anxiety or depression. H-RQOL was assessed pre-operatively and post-operatively using Oswestry Low Back Pain Disability Questionnaire (ODI) and visual analogue scale (VAS). Results: (A+) and (D+) had higher pre-operative ODI scores and pre-operative VAS scores (D+). Had higher pre-operative ODI and VAS scores than (D-). (A+) Had higher pre-operative ODI and VAS scores than (A-). Post-operative ODI and VAS scores were higher in (D+). There was no significant difference between the post-operative ODI and VAS scores in (A+). Conclusion: Pre-operative depression, independent of anxiety, reduces the effectiveness of LSS surgery and negatively impacts post-operative quality of life.