High depressive burden predicts worse outcomes and increased revision rates after lumbar fusion, indicating a need for mental health interventions.
High depressive burden provides a more robust measurement of mental health in the preoperative and early postoperative period. High depressive burden was associated with a higher 2-year revision surgery rate and worse performance on all PROMs at 6 months and 1 year. High depressive burden was also independently predictive of decreased likelihood of achieving MCID for ODI and PCS at 1 year and of requiring revision surgery within 2 years.
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Dalton et al. (2026) studied this question.
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