Preoperative Opioid Tapering Before Spine Surgery

This is a pilot study in which patients taking opioids chronically who are scheduled for spine surgery at least 4 weeks in advance will be randomly assigned to one of two groups: opioid tapering with education alone or opioid tapering with education plus cognitive behavioral therapy (CBT). The primary objective is to determine the proportion of each group that is successful in achieving their opioid tapering goals by the time of surgery.

NCT Number	NCT07221786
Lead Sponsor	Thomas Jefferson University
Conditions	Opioid Consumption, Postoperative, Pain After Surgery, Opioid Dependency
Enrollment	45 participants
Start Date	2025-12-01
Primary Completion	2026-12-01 (estimated)
Study Completion	2026-12 (estimated)
Updated on ClinicalTrials.gov	2026-03-24