{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T04:15:32Z","timestamp":1768796132253,"version":"3.49.0"},"reference-count":45,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Lumbar decompression and\/or fusion surgery is a common operation for symptomatic lumbar spondylolisthesis refractory to conservative management. Multiyear follow-up of patient outcomes can be difficult to obtain but allows for identification of preoperative patient characteristics associated with durable pain relief, improved functional outcome, and higher patient satisfaction.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS <\/jats:title>\n<jats:p>A query of the Quality Outcomes Database (QOD) low-grade spondylolisthesis module for patients who underwent surgery for grade 1 lumbar spondylolisthesis (from July 2014 to June 2016 at the 12 highest-enrolling sites) was used to identify patient satisfaction, as measured with the North American Spine Society (NASS) questionnaire, which uses a scale of 1\u20134. Patients were considered satisfied if they had a score \u2264 2. Multivariable logistic regression was performed to identify baseline demographic and clinical predictors of long-term satisfaction 5 years after surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Of 573 eligible patients from a cohort of 608, patient satisfaction data were available for 81.2%. Satisfaction (NASS score of 1 or 2) was reported by 389 patients (83.7%) at 5-year follow-up. Satisfied patients were predominantly White and ambulation independent and had lower baseline BMI, lower back pain levels, lower Oswestry Disability Index (ODI) scores, and greater EQ-5D index scores at baseline when compared to the unsatisfied group. No significant differences in reoperation rates between groups were reported at 5 years. On multivariate analysis, patients who were independently ambulating at baseline had greater odds of long-term satisfaction (OR 1.12, p = 0.04). Patients who had higher 5-year ODI scores (OR 0.99, p &lt; 0.01) and were uninsured (OR 0.43, p = 0.01) were less likely to report long-term satisfaction.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Lumbar surgery for the treatment of grade 1 spondylolisthesis can provide lasting pain relief with high patient satisfaction. Baseline independent ambulation is associated with a higher long-term satisfaction rate after surgery. Higher ODI scores at 5-year follow-up and uninsured status are associated with lower postoperative long-term satisfaction.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2024.5.spine24227","type":"journal-article","created":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T01:51:18Z","timestamp":1725069078000},"page":"658-665","source":"Crossref","is-referenced-by-count":2,"title":["Predictors of patient satisfaction after surgery for grade 1 degenerative spondylolisthesis: a 5-year analysis of the Quality Outcomes Database"],"prefix":"10.3171","volume":"41","author":[{"given":"Alexander","family":"Dru","sequence":"first","affiliation":[{"name":"Semmes Murphey Clinic, Memphis, Tennessee;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph R.","family":"Linzey","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin T.","family":"Foley","sequence":"additional","affiliation":[{"name":"Semmes Murphey Clinic, Memphis, Tennessee;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Digiorgio","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nima","family":"Alan","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domagoj","family":"Coric","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric A.","family":"Potts","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Goodman Campbell Brain and Spine, Indianapolis, Indiana;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica F.","family":"Bisson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John J.","family":"Knightly","sequence":"additional","affiliation":[{"name":"Atlantic Neurosurgical Specialists, Morristown, New Jersey;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai-Ming","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Weill Cornell Medicine, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark E.","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Virginia, Charlottesville, Virginia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Weaver","sequence":"additional","affiliation":[{"name":"Semmes Murphey Clinic, Memphis, Tennessee;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamad","family":"Bydon","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Neurological Spine Surgery, Columbia University Vagelos College of Physicians and Surgeons, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott A.","family":"Meyer","sequence":"additional","affiliation":[{"name":"Atlantic Neurosurgical Specialists, Morristown, New Jersey;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony L.","family":"Asher","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher I.","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Duke University, Durham, North Carolina;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan R.","family":"Slotkin","sequence":"additional","affiliation":[{"name":"Geisinger Medical Center, Danville, Pennsylvania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Y.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami, Florida;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regis W.","family":"Haid","sequence":"additional","affiliation":[{"name":"Atlanta Brain and Spine Care, Atlanta, Georgia; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven D.","family":"Glassman","sequence":"additional","affiliation":[{"name":"Norton Leatherman Spine Center, Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Virk","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Weill Cornell Medicine, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praveen V.","family":"Mummaneni","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Park","sequence":"additional","affiliation":[{"name":"Semmes Murphey Clinic, Memphis, Tennessee;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"Spine (Phila Pa 1976)","first-page":"199","article-title":"Spondylolysis and spondylolisthesis: prevalence and association with low back pain in the adult community-based population","volume":"34","author":"Kalichman L","year":"2009","unstructured":"Kalichman L, Kim DH, Li L, Guermazi A, Berkin V, Hunter DJ. 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N Engl J Med. 2016;374(15):1424\u20131434."},{"issue":"3","key":"b6","series-title":"J Neurosurg Spine","first-page":"373","article-title":"Predictors of patient dissatisfaction at 1 and 2 years after lumbar surgery","volume":"32","author":"Macki M","year":"2019","unstructured":"Macki M, Alvi MA, Kerezoudis P,  Predictors of patient dissatisfaction at 1 and 2 years after lumbar surgery. J Neurosurg Spine. 2019;32(3):373\u2013382."},{"issue":"6","key":"b7","series-title":"Clin Spine Surg","first-page":"E725","article-title":"Preoperative depression, smoking, and employment status are significant factors in patient satisfaction after lumbar spine surgery","volume":"30","author":"Chapin L","year":"2017","unstructured":"Chapin L, Ward K, Ryken T. Preoperative depression, smoking, and employment status are significant factors in patient satisfaction after lumbar spine surgery. 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World Neurosurg. 2022;164:e1024\u2013e1033."},{"key":"b18","series-title":"Clin Neurol Neurosurg","first-page":"106098","article-title":"Patients with a depressive and\/or anxiety disorder can achieve optimum long term outcomes after surgery for grade 1 spondylolisthesis: analysis from the Quality Outcomes Database (QOD)","volume":"197","author":"Kashlan O","year":"2020","unstructured":"Kashlan O, Swong K, Alvi MA,  Patients with a depressive and\/or anxiety disorder can achieve optimum long term outcomes after surgery for grade 1 spondylolisthesis: analysis from the Quality Outcomes Database (QOD). 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J Neurosurg Spine. 2021;36(2):177\u2013184."},{"issue":"5","key":"b20","series-title":"J Neurosurg Spine","first-page":"635","article-title":"Effects of preoperative obesity and psychiatric comorbidities on minimum clinically important differences for lumbar fusion in grade 1 degenerative spondylolisthesis: analysis from the prospective Quality Outcomes Database registry","volume":"33","author":"Laratta J","year":"2020","unstructured":"Laratta J, Carreon LY, Buchholz AL,  Effects of preoperative obesity and psychiatric comorbidities on minimum clinically important differences for lumbar fusion in grade 1 degenerative spondylolisthesis: analysis from the prospective Quality Outcomes Database registry. 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Neurosurgery. 2020;87(3):555\u2013562."},{"issue":"6","key":"b26","series-title":"Neurosurgery","first-page":"1033","article-title":"Classifying patients operated for spondylolisthesis: a k-means clustering analysis of clinical presentation phenotypes","volume":"89","author":"Chan AK","year":"2021","unstructured":"Chan AK, Wozny TA, Bisson EF,  Classifying patients operated for spondylolisthesis: a k-means clustering analysis of clinical presentation phenotypes. Neurosurgery. 2021;89(6):1033\u20131041."},{"issue":"5","key":"b27","series-title":"Neurosurgery","first-page":"E609","article-title":"In reply: a comparison of minimally invasive and open transforaminal lumbar interbody fusion for grade 1 degenerative lumbar spondylolisthesis: an analysis of the prospective Quality Outcomes Database","volume":"87","author":"Chan AK","year":"2020","unstructured":"Chan AK, Bission EF, Bydon M, Mummaneni PV. In reply: a comparison of minimally invasive and open transforaminal lumbar interbody fusion for grade 1 degenerative lumbar spondylolisthesis: an analysis of the prospective Quality Outcomes Database. Neurosurgery. 2020;87(5):E609\u2013E610."},{"issue":"6","key":"b28","series-title":"Neurosurgery","first-page":"1130","article-title":"Predictors of the best outcomes following minimally invasive surgery for grade 1 degenerative lumbar spondylolisthesis","volume":"87","author":"Chan AK","year":"2020","unstructured":"Chan AK, Bisson EF, Bydon M,  Predictors of the best outcomes following minimally invasive surgery for grade 1 degenerative lumbar spondylolisthesis. Neurosurgery. 2020;87(6):1130\u20131138."},{"issue":"2","key":"b29","series-title":"Neurosurgery","first-page":"200","article-title":"Sexual dysfunction: prevalence and prognosis in patients operated for degenerative lumbar spondylolisthesis","volume":"87","author":"Chan AK","year":"2020","unstructured":"Chan AK, Bisson EF, Fu KM,  Sexual dysfunction: prevalence and prognosis in patients operated for degenerative lumbar spondylolisthesis. Neurosurgery. 2020;87(2):200\u2013210."},{"issue":"5","key":"b30","series-title":"J Neurosurg Spine","first-page":"643","article-title":"Assessing the differences in characteristics of patients lost to follow-up at 2 years: results from the Quality Outcomes Database study on outcomes of surgery for grade I spondylolisthesis","volume":"33","author":"Bisson EF","year":"2020","unstructured":"Bisson EF, Mummaneni PV, Knightly J,  Assessing the differences in characteristics of patients lost to follow-up at 2 years: results from the Quality Outcomes Database study on outcomes of surgery for grade I spondylolisthesis. 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Neurosurg Focus. 2018;44(1):E2."},{"issue":"6","key":"b33","series-title":"Neurosurg Focus","first-page":"E7","article-title":"Developing nonlinear k-nearest neighbors classification algorithms to identify patients at high risk of increased length of hospital stay following spine surgery","volume":"54","author":"Shahrestani S","year":"2023","unstructured":"Shahrestani S, Chan AK, Bisson EF,  Developing nonlinear k-nearest neighbors classification algorithms to identify patients at high risk of increased length of hospital stay following spine surgery. Neurosurg Focus. 2023;54(6):E7."},{"issue":"2","key":"b34","series-title":"Neurosurg Focus","first-page":"E11","article-title":"Minimally invasive versus open fusion for Grade I degenerative lumbar spondylolisthesis: analysis of the Quality Outcomes Database","volume":"43","author":"Mummaneni PV","year":"2017","unstructured":"Mummaneni PV, Bisson EF, Kerezoudis P,  Minimally invasive versus open fusion for Grade I degenerative lumbar spondylolisthesis: analysis of the Quality Outcomes Database. Neurosurg Focus. 2017;43(2):E11."},{"issue":"1","key":"b35","series-title":"Neurosurg Focus","first-page":"E2","article-title":"Minimally invasive versus open transforaminal lumbar interbody fusion for grade I lumbar spondylolisthesis: 5-year follow-up from the prospective multicenter Quality Outcomes Database registry","volume":"54","author":"Chan AK","year":"2023","unstructured":"Chan AK, Bydon M, Bisson EF,  Minimally invasive versus open transforaminal lumbar interbody fusion for grade I lumbar spondylolisthesis: 5-year follow-up from the prospective multicenter Quality Outcomes Database registry. Neurosurg Focus. 2023;54(1):E2."},{"issue":"1","key":"b36","series-title":"Neurosurg Focus","first-page":"E3","article-title":"Women fare best following surgery for degenerative lumbar spondylolisthesis: a comparison of the most and least satisfied patients utilizing data from the Quality Outcomes Database","volume":"44","author":"Chan AK","year":"2018","unstructured":"Chan AK, Bisson EF, Bydon M,  Women fare best following surgery for degenerative lumbar spondylolisthesis: a comparison of the most and least satisfied patients utilizing data from the Quality Outcomes Database. Neurosurg Focus. 2018;44(1):E3."},{"issue":"12","key":"b37","series-title":"Spine (Phila Pa 1976)","first-page":"836","article-title":"\"July effect\" revisited: July surgeries at residency training programs are associated with equivalent long-term clinical outcomes following lumbar spondylolisthesis surgery","volume":"46","author":"Chan AK","year":"2021","unstructured":"Chan AK, Patel AB, Bisson EF,  \"July effect\" revisited: July surgeries at residency training programs are associated with equivalent long-term clinical outcomes following lumbar spondylolisthesis surgery. 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Spine (Phila Pa 1976). 2020;45(14):1000\u20131008."},{"key":"b39","series-title":"World Neurosurg","first-page":"e336","article-title":"Regional variance in disability and quality-of-life outcomes after surgery for grade I degenerative lumbar spondylolisthesis: a Quality Outcomes Database analysis","volume":"138","author":"Sherrod BA","year":"2020","unstructured":"Sherrod BA, Mummaneni PV, Alvi MA,  Regional variance in disability and quality-of-life outcomes after surgery for grade I degenerative lumbar spondylolisthesis: a Quality Outcomes Database analysis. 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