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This meta-analysis evaluated postoperative changes in sleep quality, pain, disability, and quality of life (QoL) following lumbar spine surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, Scopus, and the Cochrane Library were searched up to 1 March 2026 for studies reporting pre- and postoperative outcomes in adults undergoing surgery for degenerative lumbar pathologies. A Bayesian random-effects model with vague priors for overall effects and weakly informative priors for between-study heterogeneity were applied. Sensitivity analyses with alternative priors and subgroup analyses by study design, risk of bias, mean age, procedure, and pathology were performed. Posterior probabilities (PP), 95% credible intervals (CrIs), and posterior predictive distributions were estimated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-five studies comprising 3,546 patients were included. Surgery was associated with improvement in sleep quality (SMD\u2009\u2212\u20091.36; 95% CrI\u2009\u2212\u20092.02 to \u2212\u20090.71; PP 99%). Significant reductions were observed in back pain (MD\u2009\u2212\u20093.73; 95% CrI\u2009\u2212\u20094.75 to \u2212\u20092.69; PP 99%), leg pain (MD\u2009\u2212\u20093.44; 95% CrI\u2009\u2212\u20094.47 to \u2212\u20092.40; PP 99%), disability (MD\u2009\u2212\u200918.95; 95% CrI\u2009\u2212\u200926.41 to \u2212\u200911.48; PP 99%), and improved QoL (SMD 1.09; 95% CrI 0.23 to 1.95; PP 99%). Meta-regression suggested that pathology and risk of bias contributed to heterogeneity, whereas age, procedure, and study design had limited influence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This Bayesian meta-analysis found that lumbar surgery for degenerative lumbar disease is associated with improvements in sleep quality, pain, disability, and QoL, supporting the inclusion of sleep outcomes in perioperative assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00586-026-10183-0","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:45:30Z","timestamp":1783651530000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sleep quality after lumbar surgery for degenerative lumbar disease: a systematic review and Bayesian meta-analysis with meta-regression"],"prefix":"10.1007","author":[{"given":"Plamen","family":"Penchev","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Motov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolay","family":"Peev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Milanova-Ilieva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noor","family":"Husain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pervez","family":"Alam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petar","family":"Preslav-Petrov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolai","family":"Ramadanov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurens","family":"Noack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Zileli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"10183_CR1","doi-asserted-by":"crossref","unstructured":"McNassor R, Yang J, Shost MD, Benzil DL (2024) Comparison of sleep improvement in patients undergoing lumbar spine decompression. 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