Instagram and Anterior Cervical Discectomy and Fusion Surgery: An Analysis of Social Media and Its Relationship to Patient Perception of Surgery

Article Figures & Data

Table 1

Patient characteristics.

Variables Evaluated on Social Media Posts	Tone of Instagram Post (N = 529)		P
Variables Evaluated on Social Media Posts	Positive (n = 503)	Negative (n = 26)	P
Gender			0.8585
Male	118 (23)	5 (19)
Female	384 (76)	21 (81)
Timing of post			<0.001
Preoperative	19 (4)	6 (23)
Postoperative	484 (96)	20 (77)
Surgical complication	8 (2)	2 (8)	0.0259
Rehabilitation	129 (26)	1 (4)	0.0118
Activities of daily living	154 (31)	3 (12)	0.0379
Incision/scar	81 (16)	9 (34)	0.0143
Pain	93 (18)	19 (73)	<0.001
Imaging	59 (12)	1 (4)	0.2164
Trauma	20 (4)	0 (0)	0.2999
Neurological deficit	29 (6)	2 (8)	0.6833

Table 2

Bivariate and multivariable logistic regression analysis of positive tone.

Variables Evaluated on Social Media Posts	Univariate Logistic Regression		P	Multivariable Logistic Regression		P
Variables Evaluated on Social Media Posts	OR	95% CI	P	OR	95% CI	P
Gender, female vs male	0.777	0.287–2.105	0.6197	-	-	-
Timing of post, post- vs preoperative	7.634	2.754–21.276	<0.001	18.055	4.569–71.349	<0.0001
Incision/scar, yes vs no	0.363	0.156–0.842	0.0182	0.242	0.088–0.668	0.0061
Pain, yes vs no	0.084	0.034–0.205	<0.001	0.058	0.021–0.162	<0.0001
Complications, yes vs no	0.194	0.039–0.963	0.0449	0.117	0.017–0.833	0.0322
Neurological deficits, yes vs no	0.734	0.165–3.255	0.6837	-	-	-
Activities of daily living, yes vs no	3.383	1.001–11.436	0.0499	4.610	1.198–17.750	0.0263
Rehabilitation, yes vs no	8.623	1.157–64.277	0.0355	6.620	1.005–55.780	0.0480