Do surgical expectations change depending on first time surgery or reoperation? A prospective cohort study in lumbar spine surgery

Eur Spine J. 2015 Nov;24(11):2370-6. doi: 10.1007/s00586-015-4201-x. Epub 2015 Aug 27.


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.

Keywords: First procedure; Lumbar spine surgery; Reoperation; Surgical expectations.

MeSH terms

  • Adult
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Lumbar Vertebrae / surgery*
  • Male
  • Middle Aged
  • Orthopedic Procedures / psychology*
  • Prospective Studies
  • Reoperation / psychology*
  • Surveys and Questionnaires
  • Treatment Outcome