{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:20:16Z","timestamp":1791411616654,"version":"4.3.3"},"reference-count":23,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Patients undergoing spine surgery generally have high expectations for improvement postoperatively. Little is known about how these expectations are affected by the diagnosis. The purpose of this study was to examine whether preoperative expectations differ based on diagnostic pathoanatomical patterns in elective spine surgery patients.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Patients with common degenerative cervical\/lumbar pathology (lumbar\/cervical stenosis, lumbar spondylolisthesis, and cervical\/lumbar disc herniation) who had given their consent for surgery were analyzed using the Canadian Spine Outcomes and Research Network (CSORN). Patients reported the changes they expected to experience postoperatively in relation to 7 separate items using a modified version of the North American Spine Society spine questionnaire. Patients were also asked about the most important item that would make them consider the surgery a success. Sociodemographic, lifestyle, and clinical variables were also collected.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>There were 3868 eligible patients identified within the network for analysis. Patients with lumbar disc herniation had higher expectations for relief of leg pain compared with stenosis and lumbar degenerative spondylolisthesis cohorts within the univariate analysis. Cervical stenosis (myelopathy) patients were more likely to rank general physical capacity as their most important expectation from spine surgery. The multinomial regression analysis showed that cervical myelopathy patients have lower expectations for relief of arm or neck pain from surgery (OR 0.54, 0.34\u20130.88; p &lt; 0.05). Patient factors, including age, symptoms (pain, disability, depression), work status, and lifestyle factors, were significantly associated with expectation, whereas the diagnoses were not.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Patients with degenerative spinal conditions consenting for spine surgery have high expectations for improvement in all realms of their daily lives. With the exception of patients with cervical myelopathy, patient symptoms rather than diagnoses had a more substantial impact on the dimensions in which patients expected to improve or their most important expected change. Determination of patient expectation should be individualized and not biased by pathoanatomical diagnosis.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2020.11.spine201490","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T07:18:40Z","timestamp":1621581520000},"page":"34-41","source":"Crossref","is-referenced-by-count":9,"title":["The impact of pathoanatomical diagnosis on elective spine surgery patient expectations: a Canadian Spine Outcomes and Research Network study"],"prefix":"10.3171","volume":"35","author":[{"given":"R. Andrew","family":"Glennie","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Orthopedics, Dalhousie University, Halifax, Nova Scotia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayilee","family":"Canizares","sequence":"additional","affiliation":[{"name":"The Arthritis Program, Krembil Research Institute, University Health Network, Toronto, Ontario;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony V.","family":"Perruccio","sequence":"additional","affiliation":[{"name":"The Arthritis Program, Krembil Research Institute, University Health Network, Toronto, Ontario;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Surgery, Dalhousie University;"},{"name":"Canada East Spine Centre; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Nicholls","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Calgary, Alberta;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Nataraj","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, University of Alberta, Edmonton, Alberta;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Phan","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital\u2013Civic Campus, Ottawa, Ontario;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najmedden","family":"Attabib","sequence":"additional","affiliation":[{"name":"Department of Surgery, Dalhousie University;"},{"name":"Department of Neurosurgery, Saint John Regional Hospital, Saint John, New Brunswick;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Section of Orthopaedic Surgery, University of Manitoba, Winnipeg, Manitoba;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eden","family":"Richardson","sequence":"additional","affiliation":[{"name":"Canadian Spine Outcomes and Research Network;"},{"name":"Canada East Spine Centre; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"McIntosh","sequence":"additional","affiliation":[{"name":"Canadian Spine Outcomes and Research Network;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Toronto, Toronto, Ontario; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles G.","family":"Fisher","sequence":"additional","affiliation":[{"name":"Combined Neurosurgical and Orthopedic Spine Program, Department of Orthopaedic Surgery, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Manson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Dalhousie University;"},{"name":"Canada East Spine Centre; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Calgary, Alberta;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y. Raja","family":"Rampersaud","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopedics, Dalhousie University, Halifax, Nova Scotia;"},{"name":"Department of Surgery, University of Toronto, Toronto, Ontario; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"Spine","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1097\/01.brs.0000251876.98496.52","article-title":"Patients\u2019 satisfaction with provided care\/information and expectations on clinical outcome after lumbar disc herniation surgery","volume":"32","author":"R\u00f6nnberg K","year":"2007","unstructured":"R\u00f6nnberg K, Lind B, Zo\u00ebga B, et al. Patients\u2019 satisfaction with provided care\/information and expectations on clinical outcome after lumbar disc herniation surgery. Spine (Phila Pa 1976).2007;32(2):256\u2013261.10.1097\/01.brs.0000251876.98496.5217224823"},{"key":"b2","series-title":"J Surg Res","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1016\/j.jss.2018.09.017","article-title":"A review of decision aids for patients considering more than one type of invasive treatment","volume":"235","author":"Leinweber KA","year":"2019","unstructured":"Leinweber KA, Columbo JA, Kang R, et al. A review of decision aids for patients considering more than one type of invasive treatment. J Surg Res. 2019;235:350\u2013366.3069181710.1016\/j.jss.2018.09.017"},{"issue":"1","key":"b3","series-title":"Clin Orthop Relat Res","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1007\/s11999-009-1119-9","article-title":"Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?","volume":"468","author":"Bourne RB","year":"2010","unstructured":"Bourne RB, Chesworth BM, Davis AM, et al. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?. Clin Orthop Relat Res. 2010;468(1):57\u201363.10.1007\/s11999-009-1119-919844772"},{"key":"b4","series-title":"J Surg Res","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1016\/j.jss.2018.09.046","article-title":"Informing the consent process for surgeons: a survey study of patient preferences, perceptions, and risk tolerance","volume":"235","author":"Pucher PH","year":"2019","unstructured":"Pucher PH, Johnston MJ, Archer S, et al. Informing the consent process for surgeons: a survey study of patient preferences, perceptions, and risk tolerance. J Surg Res. 2019;235:298\u2013302.10.1016\/j.jss.2018.09.04630691809"},{"issue":"2","key":"b5","series-title":"Spine","doi-asserted-by":"publisher","first-page":"E103","DOI":"10.1097\/BRS.0b013e3182245c1f","article-title":"Relationship between preoperative expectations, satisfaction, and functional outcomes in patients undergoing lumbar and cervical spine surgery: a multicenter study","volume":"37","author":"Soroceanu A","year":"2012","unstructured":"Soroceanu A, Ching A, Abdu W, McGuire K. Relationship between preoperative expectations, satisfaction, and functional outcomes in patients undergoing lumbar and cervical spine surgery: a multicenter study. Spine (Phila Pa 1976).2012;37(2):E103\u2013E108.10.1097\/BRS.0b013e3182245c1f21629159"},{"issue":"10","key":"b6","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"1167","DOI":"10.1016\/j.spinee.2016.04.011","article-title":"Fulfillment of patients\u2019 expectations of lumbar and cervical spine surgery","volume":"16","author":"Mancuso CA","year":"2016","unstructured":"Mancuso CA, Duculan R, Cammisa FP, et al. Fulfillment of patients\u2019 expectations of lumbar and cervical spine surgery. Spine J. 2016;16(10):1167\u20131174.2710299410.1016\/j.spinee.2016.04.011"},{"issue":"6","key":"b7","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"709","DOI":"10.3171\/2016.11.SPINE16848","article-title":"Impact of preoperative diagnosis on patient satisfaction following lumbar spine surgery","volume":"26","author":"Crawford CH III","year":"2017","unstructured":"Crawford CH III, Carreon LY, Bydon M, et al. Impact of preoperative diagnosis on patient satisfaction following lumbar spine surgery. J Neurosurg Spine. 2017;26(6):709\u2013715.10.3171\/2016.11.SPINE1684828338454"},{"issue":"3)(suppl","key":"b8","series-title":"Global Spine J","doi-asserted-by":"publisher","first-page":"53S","DOI":"10.1177\/2192568217710137","article-title":"Change in functional impairment, disability, and quality of life following operative treatment for degenerative cervical myelopathy: a systematic review and meta-analysis","volume":"7","author":"Fehlings MG","year":"2017","unstructured":"Fehlings MG, Tetreault LA, Kurpad S, et al. Change in functional impairment, disability, and quality of life following operative treatment for degenerative cervical myelopathy: a systematic review and meta-analysis. Global Spine J. 2017;7(3)(suppl):53S\u201369S.2916403310.1177\/2192568217710137"},{"issue":"1","key":"b9","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1007\/s10143-016-0720-0","article-title":"Exploring the expectation-actuality discrepancy: a systematic review of the impact of preoperative expectations on satisfaction and patient reported outcomes in spinal surgery","volume":"41","author":"Witiw CD","year":"2018","unstructured":"Witiw CD, Mansouri A, Mathieu F, et al. Exploring the expectation-actuality discrepancy: a systematic review of the impact of preoperative expectations on satisfaction and patient reported outcomes in spinal surgery. Neurosurg Rev. 2018;41(1):19\u201330.2705322210.1007\/s10143-016-0720-0"},{"issue":"1","key":"b10","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.spinee.2018.10.005","article-title":"Patient-reported outcomes following surgery for degenerative spondylolisthesis: comparison of a universal and multitier health care system","volume":"19","author":"Ailon T","year":"2019","unstructured":"Ailon T, Tee J, Manson N, et al. Patient-reported outcomes following surgery for degenerative spondylolisthesis: comparison of a universal and multitier health care system. Spine J. 2019;19(1):24\u201333.10.1016\/j.spinee.2018.10.00530312774"},{"issue":"3","key":"b11","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/j.spinee.2019.10.001","article-title":"Patients\u2019 expectations of spine surgery for degenerative conditions: results from the Canadian Spine Outcomes and Research Network (CSORN)","volume":"20","author":"Canizares M","year":"2020","unstructured":"Canizares M, Gleenie RA, Perruccio AV, et al. Patients\u2019 expectations of spine surgery for degenerative conditions: results from the Canadian Spine Outcomes and Research Network (CSORN). Spine J. 2020;20(3):399\u2013408.10.1016\/j.spinee.2019.10.001"},{"issue":"24","key":"b12","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2851","DOI":"10.1097\/01.brs.0000147802.57484.77","article-title":"Validity and sensitivity to change of the NASS questionnaire for patients with cervical spine disorders","volume":"29","author":"Stoll T","year":"2004","unstructured":"Stoll T, Huber E, Bachmann S, et al. Validity and sensitivity to change of the NASS questionnaire for patients with cervical spine disorders. Spine (Phila Pa 1976).2004;29(24):2851\u20132855.10.1097\/01.brs.0000147802.57484.7715599289"},{"issue":"1","key":"b13","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.spinee.2008.08.011","article-title":"Lumbar fusion outcomes stratified by specific diagnostic indication","volume":"9","author":"Glassman SD","year":"2009","unstructured":"Glassman SD, Carreon LY, Djurasovic M, et al. Lumbar fusion outcomes stratified by specific diagnostic indication. Spine J. 2009;9(1):13\u201321.10.1016\/j.spinee.2008.08.01118805059"},{"key":"b14","series-title":"Clin Orthop Relat Res","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1097\/01.blo.0000198724.54891.3a","article-title":"Lumbar disc herniations: surgical versus nonsurgical treatment","volume":"443","author":"Awad JN","year":"2006","unstructured":"Awad JN, Moskovich R. Lumbar disc herniations: surgical versus nonsurgical treatment. Clin Orthop Relat Res. 2006;443:183\u2013197.1646244210.1097\/01.blo.0000198724.54891.3a"},{"issue":"2","key":"b15","series-title":"Clin Rehabil","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1177\/0269215517719952","article-title":"Surgical versus non-operative treatment for lumbar disc herniation: a systematic review and meta-analysis","volume":"32","author":"Chen BL","year":"2018","unstructured":"Chen BL, Guo JB, Zhang HW, et al. Surgical versus non-operative treatment for lumbar disc herniation: a systematic review and meta-analysis. Clin Rehabil. 2018;32(2):146\u2013160.10.1177\/026921551771995228715939"},{"issue":"1","key":"b16","series-title":"Surg Neurol Int","doi-asserted-by":"publisher","first-page":"38","DOI":"10.4103\/2152-7806.180297","article-title":"The role of surgery for treatment of low back pain: insights from the randomized controlled Spine Patient Outcomes Research Trials","volume":"7","author":"Abraham P","year":"2016","unstructured":"Abraham P, Rennert RC, Martin JR, et al. The role of surgery for treatment of low back pain: insights from the randomized controlled Spine Patient Outcomes Research Trials. Surg Neurol Int. 2016;7(1):38.10.4103\/2152-7806.18029727127703"},{"issue":"5","key":"b17","series-title":"Spine","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1097\/BRS.0000000000002830","article-title":"Sources of patients\u2019 expectations of lumbar surgery","volume":"44","author":"Mancuso CA","year":"2019","unstructured":"Mancuso CA, Duculan R, Cammisa FP, et al. Sources of patients\u2019 expectations of lumbar surgery. Spine (Phila Pa 1976).2019;44(5):318\u2013324.10.1097\/BRS.000000000000283030086082"},{"issue":"9","key":"b18","series-title":"Spine","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1097\/BRS.0b013e31827bf204","article-title":"Development of an expectations survey for patients undergoing cervical spine surgery","volume":"38","author":"Mancuso CA","year":"2013","unstructured":"Mancuso CA, Cammisa FP, Sama AA, et al. Development of an expectations survey for patients undergoing cervical spine surgery. Spine (Phila Pa 1976).2013;38(9):718\u2013725.2313840410.1097\/BRS.0b013e31827bf204"},{"issue":"14","key":"b19","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1097\/BRS.0000000000000349","article-title":"Patients\u2019 expectations of cervical spine surgery","volume":"39","author":"Mancuso CA","year":"2014","unstructured":"Mancuso CA, Duculan R, Stal M, Girardi FP. Patients\u2019 expectations of cervical spine surgery. Spine (Phila Pa 1976).2014;39(14):1157\u20131162.2473284610.1097\/BRS.0000000000000349"},{"issue":"12","key":"b20","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1040","DOI":"10.1097\/BRS.0b013e318269c100","article-title":"A comparison of patient and surgeon preoperative expectations of spinal surgery","volume":"38","author":"Lattig F","year":"2013","unstructured":"Lattig F, Fekete TF, O\u02bcRiordan D, et al. A comparison of patient and surgeon preoperative expectations of spinal surgery. Spine (Phila Pa 1976).2013;38(12):1040\u20131048.2282547710.1097\/BRS.0b013e318269c100"},{"issue":"15","key":"b21","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1590","DOI":"10.1097\/BRS.0b013e31819fcd52","article-title":"Great expectations: really the novel predictor of outcome after spinal surgery?","volume":"34","author":"Mannion AF","year":"2009","unstructured":"Mannion AF, Junge A, Elfering A, et al. Great expectations: really the novel predictor of outcome after spinal surgery?. Spine (Phila Pa 1976).2009;34(15):1590\u20131599.10.1097\/BRS.0b013e31819fcd5219521272"},{"issue":"10","key":"b22","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"824","DOI":"10.2106\/JBJS.N.00916","article-title":"Association between patient-reported measures of psychological distress and patient satisfaction scores after spine surgery","volume":"97","author":"Abtahi AM","year":"2015","unstructured":"Abtahi AM, Brodke DS, Lawrence BD, et al. Association between patient-reported measures of psychological distress and patient satisfaction scores after spine surgery. J Bone Joint Surg Am. 2015;97(10):824\u2013828.2599549310.2106\/JBJS.N.00916"},{"issue":"10","key":"b23","series-title":"Spine","doi-asserted-by":"publisher","first-page":"740","DOI":"10.1097\/BRS.0000000000002914","article-title":"Discrepancies between patient and surgeon expectations of surgery for sciatica: a challenge for informed decision making?","volume":"44","author":"Rehman Y","year":"2019","unstructured":"Rehman Y, Muzammil S, Wiercioch W, et al. Discrepancies between patient and surgeon expectations of surgery for sciatica: a challenge for informed decision making?. Spine (Phila Pa 1976).2019;44(10):740\u2013746.3039508310.1097\/BRS.0000000000002914"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/35\/1\/article-p34.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/35\/1\/article-p34.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/35\/1\/article-p34.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T01:08:58Z","timestamp":1751072938000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/35\/1\/article-p34.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":23,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2020.11.spine201490","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}