The correlation of sleep disorders with postoperative outcomes in spine surgery: A narrative review

Bibliographic Details
Title: The correlation of sleep disorders with postoperative outcomes in spine surgery: A narrative review
Authors: Joseph E. Nassar, BS, Manjot Singh, BS, Ashley Knebel, BA, Mohmmad Daher, BS, Daniel Alsoof, MBBS, Bassel G. Diebo, MD, Alan H. Daniels, MD
Source: North American Spine Society Journal, Vol 21, Iss , Pp 100586- (2025)
Publisher Information: Elsevier, 2025.
Publication Year: 2025
Collection: LCC:Orthopedic surgery
LCC:Neurology. Diseases of the nervous system
Subject Terms: Sleep disorders, Sleep Pathologies, Spine surgery, Sleep apnea, Postoperative outcomes, Patient-reported outcomes, Orthopedic surgery, RD701-811, Neurology. Diseases of the nervous system, RC346-429
More Details: Background: Sleep hygiene plays a pivotal role in maintaining good health, yet nearly 30% of adults face sleep disorders such as sleep apnea, insomnia and circadian rhythm disruptions. These disturbances are associated with worse patient-reported health outcomes and higher risk of complications following surgery. In orthopedics, sleep disorders increase readmission rates and prolong hospital stays, yet their correlation with outcomes following spine surgery remains poorly understood. Methods: We conducted a literature search using Pubmed, Embase and Scopus databases to identify studies reporting on the correlation of sleep-related disorders on spine pathologies and postoperative outcomes. Results: Sleep disorders contribute to systemic inflammation, impaired tissue repair and hormonal dysregulation, adversely affecting spinal health and recovery. Patients with untreated sleep disturbances experience higher pain levels, delayed rehabilitation and increased dependency on analgesics. Improved management of sleep disturbances has shown potential to improve clinical and functional outcomes after surgery. Conclusions: Managing sleep disorders in patients undergoing spine surgery is vital to optimize outcomes. Future research should prioritize prospective studies and the integration of comprehensive sleep-focused perioperative care strategies to minimize complications and improve recovery.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2666-5484
Relation: http://www.sciencedirect.com/science/article/pii/S266654842500006X; https://doaj.org/toc/2666-5484
DOI: 10.1016/j.xnsj.2025.100586
Access URL: https://doaj.org/article/dff391d8a7024aa686726068b43f3507
Accession Number: edsdoj.ff391d8a7024aa686726068b43f3507
Database: Directory of Open Access Journals
More Details
ISSN:26665484
DOI:10.1016/j.xnsj.2025.100586
Published in:North American Spine Society Journal
Language:English