INFLUENCE OF PSYCHOLOGICAL FACTORS ON RESULTS OF SURGICAL TREATMENT FOR PAIN SYNDROME AT LUMBAR DEGENERATIVE DISEASES

Objective. To assess the influence of psychological factors on results of surgical treatment for pain syndrome at lumbar degenerative disease.

Materials and Methods. A prospective study of psychological status influence on patients' subjective perception of surgery results for vertebrogenic pain syndrome was performed. In total 106 patients operated on for lumbar spine degenerative disease were examined. Out of them 58 patients were men, 48 - women, the age was from 23 to 62 years (44.6 ± 5.2 years). The pain syndrome intensity dynamics was evaluated by Visual Analog Scale, Oswestry Index score, and psychological status of patients was studied including the anxiety and depression level, the attitude to disease, and the quality of life.

Results. The performed study revealed the influence of psychological factors on results of surgical treatment for vertebrogenic pain syndromes. In patients with a high preoperative level of anxiety and depression the regression of pain syndrome was less expressed, and postoperative score of life quality were lower than in patients with a normal emotional background.

Conclusion. A high level of preoperative anxiety and depression should be considered as a psychological factor negatively affecting the results of pain syndrome treatment. Anxiety and depressive changes are determined mainly by personality and less by situational responses.

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