The NOTICE Study: Neurosurgery and OrThopedIcs Communication Evaluation Study Following Lumbar Fusions

This study (called NOTICE) evaluates whether text message-based communication between patients and their surgical teams after lumbar spinal fusion surgery improves patient outcomes and reduces complications. Lumbar fusion is surgery to join together two or more vertebrae in the lower back to stabilize the spine and reduce pain. After discharge, communication gaps can lead to missed warning signs. Participants will receive regular text check-ins from their care team and the study will compare their recovery, satisfaction, and complication rates to historical benchmarks. You may be eligible if: - You are 18 years or older - You are having primary lumbar fusion at 1 to 4 levels for a degenerative spine condition - You own a mobile phone capable of text messaging and use it regularly (at least once daily) - You are comfortable texting and agree to regular contact You may NOT be eligible if: - You have had previous lumbar fusion surgery - Your surgery is for a tumor, infection, or trauma - You smoke or have uncontrolled diabetes - You do not speak English - You are a prisoner or institutionalized patient Talk to your doctor to see if this trial is right for you.