Plenary Session Abstracts and Discussant Presentations-Does Back Pain Catastrophizing Influence 5-year Surgical Outcomes for Patients with Degenerative Lumbar Spondylolisthesis? A Quality Outcomes Database Study

Does Back Pain Catastrophizing Influence 5-year Surgical Outcomes for Patients with Degenerative Lumbar Spondylolisthesis? A Quality Outcomes Database Study - Deborah Boyett, MD

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Video Summary

The study presented by Debra, a neurosurgery resident at Columbia, investigates the impact of back pain catastrophizing on surgical outcomes for degenerative lumbar spondylolisthesis over five years. The research, supported by NREF and others, shows that patients with severe back pain experience significant improvement after surgery, despite not reporting higher satisfaction levels. Severe pain patients were younger, more likely to have depression, and less educated, indicating psychosocial contributors to catastrophizing. The study emphasizes the need for preoperative counseling and addressing psychosocial factors. The findings highlight significant improvement potential but caution against viewing severe back pain as a sole barrier to surgery.

Keywords

back pain catastrophizing

degenerative lumbar spondylolisthesis

surgical outcomes

psychosocial factors

preoperative counseling