Factors associated with long-term deterioration in back pain after surgical treatment for low-grade lumbar spondylolisthesis at 2 and 5 years: an evaluation from the Quality Outcomes Database spondylolisthesis data
Most patients (88%) improved after surgery while deterioration was only reported in a few patients (12%). Patients with better back pain scores at baseline were more likely to report deterioration in back pain scores at 2 and 5 years postoperatively. There also appeared to be a trend toward deterioration in those who underwent decompression alone without fusion. These findings highlight the risks of operating on patients with less severe symptoms, as well as the need to improve the understanding of which patients would benefit from fusion. Persistent leg pain and less ODI improvement were also associated with deterioration in back pain scores.
Authors
- Erica F. Bisson (ORCID: https://orcid.org/0000-0002-8583-8544)
- Jonathan R. Slotkin
- Michael Y. Wang (ORCID: https://orcid.org/0000-0002-8981-6385)
- Shawn W Adams
- Paul Park (ORCID: https://orcid.org/0000-0002-0375-396X)
- Mladen Djurasovic
- Steven D. Glassman (ORCID: https://orcid.org/0000-0002-5488-9357)
- Praveen V. Mummaneni (ORCID: https://orcid.org/0000-0001-5501-7262)
- Mohamad Bydon (ORCID: https://orcid.org/0000-0002-0543-396X)
- Mandeep S. Virk (ORCID: https://orcid.org/0000-0001-6294-2771)
- Christopher I. Shaffrey (ORCID: https://orcid.org/0000-0001-9760-8386)
- Andrew J. Croft (ORCID: https://orcid.org/0000-0002-2461-976X)
- Andrew K. Chan (ORCID: https://orcid.org/0000-0002-9352-5281)
- Kevin T. Foley (ORCID: https://orcid.org/0000-0002-3111-3943)
- Domagoj Coric (ORCID: https://orcid.org/0000-0001-8521-2691)
- Dean Chou (ORCID: https://orcid.org/0000-0003-0310-8263)
- John J. Knightly (ORCID: https://orcid.org/0000-0003-0917-9265)
- Eric A. Potts (ORCID: https://orcid.org/0000-0003-4349-2327)
- Anthony L. Asher (ORCID: https://orcid.org/0000-0002-3596-3849)
- Kai-Ming Fu
- Regis W. Haid
- Leah Y Carreon
Institutions
- CARE USA (US)
- Carolinas Healthcare System (US)
- University of Louisville (US)
- University of Miami (US)
- Duke University (US)
- University of California, San Francisco (US)
- Norton Healthcare (US)
- Cornell University (US)
- University of Utah (US)
- Morristown Medical Center (US)
- Carolina Neurosurgery and Spine Associates (US)
- Semmes Murphey Foundation (US)
- Indiana Spine Group (US)
- Maxim Integrated (United States) (US)
- Neurological Surgery (US)
- Geisinger Health System (US)
- Columbia University (US)
Publication Details
- Journal
- Journal of Neurosurgery Spine
- Published
- 2025-10-17
- DOI
- https://doi.org/10.3171/2025.7.spine25248
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00