Not sufficient staff to complete the trial.

The objectives of this double-blind, randomized, controlled study are to evaluate the efficacy of maintaining contact with low-back pain patients through text messaging and emailing, to decrease anxiety levels, pain, number of follow-up visits through text messaging and emailing, and to improve reporting of surgical site infection after spine surgery through text messaging and emailing. The outcomes that will be measured are anxiety, pain, follow-up visits and received phone calls, and reporting signs of surgical site infection. Participants will include Dr. Oren Gottfried's patients who underwent spine surgery at Duke Hospital or at Duke Raleigh Hospital. Patients will be approached after determination that the patient is going to undergo spinal surgery. All patients meeting inclusion criteria will be approached to participate irrespective of race or ethnicity. A total of 194 subjects will be recruited.

Inclusion Criteria:

• Patients age greater than 18 years
• Patients who confirm they have an unlimited text message data plan and email capabilities on their mobile device
• Patients of Dr. Gottfried's underwent lumbar decompression or fusion surgery
• Patients with text message capabilities
• Patients who have an active email account

Exclusion Criteria:

• Patients who demonstrate an inability to fill out the pre-visit questionnaires
• Patients with a diagnosis of metastatic disease
• Patients with workers compensation or liability pending
• Patients who will require transfer to an acute rehabilitation facility following surgery