Jang HD, Lee JC, Choi SW, et al. - Researchers conducted this retrospective study to examine the prevalence and risk factors of postsurgical foot complaints (PFCs) following spinal surgery by using a modified pain drawing (PD) instrument. Participants in the study were 853 consecutive patients who had decompression with or without fusion. A total of 176 (20.6%) of the 853 individuals had PFCs. Preoperative leg pain duration was significantly longer in the PFC group than in the asymptomatic group. Multivariable logistic regression analysis showed two independent risk factors: the presence of preoperative foot symptoms and preoperative sensory deficits on the leg. After degenerative lumbar spinal surgery, PFCs occurred frequently. Based on PD instrument data, it can help reduce the occurrence of PFCs by advising and educating patients that preoperatively existing foot symptoms and sensory deficits on the leg are important risk factors for PFC development.