Depressive symptoms are associated with poor outcome for lumbar spine surgery
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Of 537 responders after lumbar surgery 39% had Beck Depression Inventory ≥ 10.

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Of these 28% had non-melancholic (NmDS) and 11% melancholic depression (MDS).

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MDS patients had more pain, sleep disturbances by pain and poorer functional disability.

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MDS patients used more regular pain medication and received less benefit from its use.

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MDS patients need tailored pre- and postoperative rehabilitation programme.

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