171 Psychiatric Comorbidities - What to Expect Post Spine Surgery

Abstract

Abstract INTRODUCTION Improved life expectancy and elderly population has significantly increased the co-morbid conditions encountered by spine surgeons. One of the comorbidities include mood disorder patients requiring spine surgery. It is important to understand the short term outcome in these patients after spine surgery as it is known to impact the outcome. In this study, we detail outcomes for first 30days in patients with mood disorders. METHODS A retrospective database of 550 patients who underwent posterior lumbar spine surgery (between 2015 and 2016) was analyzed. We collected data including demographics, surgical technique, outcomes and complications. A multivariate regression analyses were performed assessing differences in outcomes and morbidity in the mood disorder (anxiety and depressive) versus non-mood disorder groups. RESULTS >275 included patients were stratified into mood disorder (n = 24) and Non-mood disorder (n = 251) groups. The average age was 59.1 ± 14.6 years old with 48% patients being male. There was higher incidence of 30-day readmission in mood disorder group (12.5% vs 6%, P = 0.462). In regards to surgical outcome, patients with mood disorder tend to have higher mean VAS (4.5 vs 3.7, P = 0.089), higher mean ODI (24.2 vs 16.8, P < 0.001), slightly lower mean EQ-50 (0.67 vs 0.77, P = 0.004) CONCLUSION Our study is provides detail estimate of short term outcome in patients with mood disorder. Our study patients operated at our institution and significantly differ from the online commercial database analysis. Spine surgeons also have to be aware of the outcomes and prepare to optimize the peri-operative condition. Patient education significantly reduces the expectation vs reality post spine surgery.