The care of surgical patients should not be limited to the details of the pathological process and the surgical technique. There is a real need for psychiatric evaluation before performing surgery. The systematic review was written to highlight the occurrence of psychiatric comorbidity in patients undergoing spinal surgery. Out of 487 articles, 13 were included in the study because they met the inclusion criteria. Overall, the study provides insight into the relationship between preoperative depression and a variety of outcomes, particularly opioid use, following spine surgery. Furthermore, both orthopaedic literature and broader chronic disease literature underscore the importance of addressing emotional wellbeing before performing orthopaedic procedures. Moreover, a psychological evaluation is also required before the implantation of the spinal cord simulator.

Index Terms

Psychology, Spine surgery, Depression, Basrah, Iraq.