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Anthony M. DiGiorgio, Praveen V. Mummaneni, Paul Park, Andrew K. Chan, Erica F. Bisson, Mohamad Bydon, Kevin T. Foley, Steven D. Glassman, Christopher I. Shaffrey, Eric A. Potts, Mark E. Shaffrey, Domagoj Coric, John J. Knightly, Michael Y. Wang, Kai-Ming Fu, Anthony L. Asher, Michael S. Virk, Panagiotis Kerezoudis, Mohammed Ali Alvi, Jian Guan, Regis W. Haid Jr., and Jonathan R. Slotkin

participation in the workforce. 10 The goals of lumbar spine surgery should, whenever possible, include having patients RTW postoperatively. Indeed, many studies have investigated factors that either improve or worsen RTW rates after spine surgery. 8 , 13 , 14 , 16 , 20 , 28 However, while RTW benefits patients, employers, payors, and society, subjective patient satisfaction is an important outcome as well. In lumbar spine surgery, patient satisfaction is often measured by the North American Spine Society patient satisfaction index (NASS) score, as follows: 1, surgery met my

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Hesham Mostafa Zakaria, Tarek R. Mansour, Edvin Telemi, Karam Asmaro, Mohamed Macki, Michael Bazydlo, Lonni Schultz, David R. Nerenz, Muwaffak Abdulhak, Jason M. Schwalb, Paul Park, and Victor Chang

cord injury. Variables, Data Sources, and Measurements The MSSIC prospective registry tracks preoperative surgical details, information on the postoperative stay, and postsurgical adverse events within 90 days of the procedure. PROs are measured at baseline, 90 days, and 1 and 2 years after the surgery. PROs measured for this analysis consisted of the Oswestry Disability Index (ODI) MCID scores. 26 , 31 The North American Spine Society patient satisfaction index was used to measure patient satisfaction at designated time points, with satisfied patients being

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Alvaro Ibaseta, Rafa Rahman, Nicholas S. Andrade, Richard L. Skolasky, Khaled M. Kebaish, Daniel M. Sciubba, and Brian J. Neuman

the two answers on a scale of 1 (very unsatisfied) to 5 (very satisfied), with 3 representing neither satisfied nor dissatisfied. 3 We considered scores ≤ 3 as not satisfied. Finally, to assess whether treatment met patient expectations postoperatively, we used the North American Spine Society Patient Satisfaction Index (PSI). This measure offers patients the following answer choices: 1) “The treatment met my expectations”; 2) “I did not improve as much as I had hoped but would undergo the same treatment again for the same outcome”; 3) “I did not improve as much as

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Suyash Singh, Jayesh Sardhara, Anant Mehrotra, and Sanjay Behari

follow-up between the two groups might influence the overall result. The mean age for patients in the spondylolisthesis data set was 62 years, and the advanced age of the study population may represent an additional selection bias. The recommendation of fixation in a single-level, grade-I spondylolisthesis in an elderly population is further controversial. 2 Moreover, the physical demands of the patient in their respective job and the nature of the job are not taken into account, which may affect RTW. The authors have used the North American Spine Society patient