The impact of preoperative depressive symptoms on acute and chronic postoperative pain trajectories after orthopedic surgery for adolescent idiopathic scoliosis: a prospective cohort study.

Preoperative depressive symptoms are risk factors for both acute postsurgical pain and chronic postsurgical pain in postoperative adolescent idiopathic scoliosis patients, demonstrating a gradient association with the incidence of chronic postsurgical pain.

A nomogram that incorporates female sex, the number of surgical segments, and preoperative depressive symptoms can effectively predict chronic postsurgical pain in this population.

An integrative psychological and analgesic intervention centered on preoperative depressive symptoms is expected to benefit high-risk adolescent idiopathic scoliosis patients.