Study: One-fifth of spine surgery patients develop PTSD symptoms
Nearly 20 percent of people who underwent low back fusion surgery developed post-traumatic stress disorder symptoms associated with that surgery, according to a recent Oregon Health & Science University study published in the journal Spine.
Past studies have noted PTSD symptoms in some trauma, cancer and organ transplant patients. But this is the first study, its authors believe, to monitor for PTSD symptoms in patients undergoing an elective medical procedure.
"It is maybe not surprising that significant surgical interventions have psychological as well as physical impacts," said Robert Hart, M.D., an orthopedic surgeon, professor of orthopedics and rehabilitation at OHSU and senior author of the study. "I think it means that we in the medical community need to monitor for these effects in our patients and to manage them when they occur."
The study found that the strongest factor in determining whether a spine surgery patient suffered PTSD symptoms after the surgery was whether the patient had a psychiatric disturbance—depression or anxiety disorders, for example—before the surgery. But some patients who had no such pre-surgery diagnoses also suffered PTSD symptoms after the spine surgery, the study found.
The OHSU study involved 73 of Hart's surgical patients who underwent lumbar spinal fusion surgery, a procedure in which two or more lumbar vertebrae in the back are fused together, usually including implantation of metal screws and rods as part of the procedure.
Surgeons at the OHSU Spine Center always look for other ways to deal with back pain before surgery. But sometimes, surgery is the only option. And spinal fusion is often major surgery that may involve complications and often involves a long recuperation period. The majority of patients in the study reported a good experience and had substantial relief of their pre-operative pain.
Hart said the study results might offer guidance to doctors and surgeons in advising potential spine surgery patients about the surgery. For patients at higher risk, the results suggest doctors and surgeons might offer treatment for them prior to surgery, Hart said.
"At the end of the day, I hope this will make changes in the way we prepare people for surgery, to reduce these psychological impacts. This is analogous to how we currently optimize patients' physical condition before major surgery," Hart said.
Hart said he wants to study that issue next—and measure which pre-surgery interventions might work best to reduce or eliminate any PTSD effects.
Journal reference: Spine
Provided by Oregon Health & Science University
- Study shows that modern surgery for scoliosis has good long-term outcomes Apr 05, 2011 | not rated yet | 0
- Surgery may be best for certain back conditions May 18, 2012 | not rated yet | 0
- Study investigates the cost effectiveness of spinal surgery Dec 29, 2008 | not rated yet | 0
- Study finds spine surgery yields greater benefits over nonsurgical treatments Feb 24, 2008 | not rated yet | 0
- Surgical treatment within six months of lumbar disc herniation Oct 25, 2011 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
How can there be villous adenoma in colon, if there are no villi there
15 hours ago As title suggest. Thanks :smile:
How can there be a term called "intestinal metaplasia" of stomach
May 21, 2013 Hello everyone, Ok Stomach's normal epithelium is simple columnar, now in intestinal type of adenocarcinoma of stomach it undergoes "intestinal...
Pressure-volume curve: Elastic Recoil Pressure don't make sense
May 18, 2013 From pressure-volume curve of the lung and chest wall (attached photo), I don't understand why would the elastic recoil pressure of the lung is...
If you became brain-dead, would you want them to pull the plug?
May 17, 2013 I'd want the rest of me to stay alive. Sure it's a lousy way to live but it beats being all-the-way dead. Maybe if I make it 20 years they'll...
MRI bill question
May 15, 2013 Dear PFers, The hospital gave us a $12k bill for one MRI (head with contrast). The people I talked to at the hospital tell me that they do not...
Ratio of Hydrogen of Oxygen in Dessicated Animal Protein
May 13, 2013 As an experiment, for the past few months I've been consuming at least one portion of Jell-O or unflavored Knox gelatin per day. I'm 64, in very...
- More from Physics Forums - Medical Sciences
More news stories
A new study shows there is a gender gap when it comes to behavior and self-control in American young children – one that does not appear to exist in children in Asia.
Psychology & Psychiatry 6 hours ago | not rated yet | 0
Until now, little was scientifically known about the human potential to cultivate compassion—the emotional state of caring for people who are suffering in a way that motivates altruistic behavior.
Psychology & Psychiatry 7 hours ago | 5 / 5 (2) | 2 |
What effect does a father's depression have on his young son or daughter? When fathers report a high level of emotional intimacy in their marriage, their children benefit, said a University of Illinois study.
Psychology & Psychiatry 7 hours ago | not rated yet | 0
(Medical Xpress)—Preschoolers universally recognize that one's choices are not always free – that our decisions may be constrained by social obligations to be nice to others or follow rules set by parents ...
Psychology & Psychiatry 15 hours ago | not rated yet | 0
(Medical Xpress)—Do ethicists engage in better moral behavior than other professors? The answer is no. Nor are they more likely than nonethicists to act according to values they espouse, according to researchers from the ...
Psychology & Psychiatry 15 hours ago | 5 / 5 (1) | 0
Swiss scientists reveal the mechanism responsible for aging hidden deep within mitochondria—and dramatically slow it down in worms by administering antibiotics to the young.
10 hours ago | 4.8 / 5 (5) | 0 |
Researchers from Queen Mary, University of London have led the largest sequencing study of human disease to date, investigating the genetic basis of six autoimmune diseases.
10 hours ago | 4 / 5 (1) | 0 |
(HealthDay)—Migraines and depression can each cause a great deal of suffering, but new research indicates the combination of the two may be linked to something else entirely—a smaller brain.
6 hours ago | 5 / 5 (1) | 0 |
A new approach for immunizing against influenza elicited a more potent immune response and broader protection than the currently licensed seasonal influenza vaccines when tested in mice and ferrets. The vaccine ...
7 hours ago | not rated yet | 0 |
In a series of lab experiments designed to unravel the workings of a key enzyme widely considered a possible trigger of rheumatoid arthritis, researchers at Johns Hopkins have found that in the most severe ...
9 hours ago | 5 / 5 (1) | 0 |
Researchers have developed a new drug delivery system that allows inhalation of chemotherapeutic drugs to help treat lung cancer, and in laboratory and animal tests it appears to reduce the systemic damage ...
9 hours ago | not rated yet | 0 |