Gender Disparities in Decision-Making and Outcomes in Lumbar Spine Surgery: A Retrospective Analysis

Aim: The objective of this study is to explore gender differences in decision-making and outcomes in lumbar spine surgery. Material and Method: In this retrospective analysis, 74 patients (42 women and 32 men) who had lumbar spine surgery at İstinye University's Gaziosmanpaşa Hospital between January 2023 and April 2024 were included. Sociodemographics, surgical choices, comorbidities, and medication use were among the data gathered; these were examined to find variations. Results: Women were more likely to attend appointments with family members and to have surgery at their initial consultation. In addition, women were more likely than men to have smoked, had had previous surgery, and used antidepressants. In terms of surgical operations, stabilizing procedures were more commonly assigned to women. Additionally, compared to patients with only a primary school education, those with better educational backgrounds—especially those who have graduated from university—tended to make judgments faster. Preoperative discomfort and impairment were higher among women, according to the results. Conclusion: Comorbidities, gender, and educational background have a big influence on lumbar spine surgical decision-making and results. By addressing these issues in therapeutic settings, it may be possible to improve patient care and lessen treatment and recovery inequities.