Surgical Fear and Preference in Spine Disorders: A Prospective Study of Tomophobia and Tomophilia

Decision-making in spine surgery is not determined solely by pathology or radiology; patient attitudes play a major role. Two key psychological constructs influence surgical choices:

• Tomophobia – excessive fear of surgery, anaesthesia, or operative risks.
• Tomophilia – excessive preference for surgical intervention even when non-operative care may be suitable.

These attitudes affect treatment acceptance, healthcare utilisation, patient–provider interactions, postoperative expectations, satisfaction, clinical outcomes, and may contribute to delays or unnecessary surgeries. Despite their potential clinical impact, these constructs remain poorly quantified in spine care, especially in Indian populations. A structured prospective study is needed to estimate prevalence and understand associated clinical, demographic, psychological, and radiological factors.