Coronado RA, Robinette PE, Henry AL, et al. - In this study, the correlation of early postoperative resilience and self-efficacy on 12-month physical function, pain interference, social participation, disability, pain intensity, and physical activity after lumbar spine surgery was explored. This study enrolled a total of 248 patients who had undergone laminectomy with or without fusion for a degenerative lumbar condition. Using multivariable linear regression analyses, the associations between early postoperative psychosocial factors and 12-month outcomes adjusting for age, gender, study site, randomized group, fusion status, fear of movement (Tampa Scale for Kinesiophobia), and outcome score were evaluated at baseline. After spine surgery, postoperative resilience and pain self-efficacy were correlated with improved 12-month patient-reported outcomes. In patients undergoing spine surgery, further work should recognize how early postoperative screening for positive psychosocial characteristics can enhance risk stratification and targeted rehabilitation management.