دورية أكاديمية
أعرض في EDS

Effect of spinal cord stimulation on quality of life and opioid consumption in patients with failed back surgery syndrome.

التفاصيل البيبلوغرافية
العنوان: Effect of spinal cord stimulation on quality of life and opioid consumption in patients with failed back surgery syndrome.
المؤلفون: Elkholy MAE; Department of Neurosurgery and Spine Surgery, Ain Shams University, Cairo, Egypt., Nagaty A; Department of Neurosurgery and Spine Surgery, Ain Shams University, Cairo, Egypt., Abdelbar AE; Department of Neurosurgery and Spine Surgery, Ain Shams University, Cairo, Egypt., Simry HAM; Department of Neurosurgery and Spine Surgery, Ain Shams University, Cairo, Egypt., Raslan AM; Department of Neurological Surgery, Oregon Health and Science University, Portland, Oregon, USA.
المصدر: Pain practice : the official journal of World Institute of Pain [Pain Pract] 2024 Feb; Vol. 24 (2), pp. 261-269. Date of Electronic Publication: 2023 Sep 27.
نوع المنشور: Observational Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Science, Inc Country of Publication: United States NLM ID: 101130835 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1533-2500 (Electronic) Linking ISSN: 15307085 NLM ISO Abbreviation: Pain Pract Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Malden, Mass. : Blackwell Science, Inc., c2001-
مواضيع طبية MeSH: Spinal Cord Stimulation*/methods , Failed Back Surgery Syndrome*/complications, Humans ; Adolescent ; Adult ; Analgesics, Opioid/therapeutic use ; Quality of Life ; Analgesics ; Treatment Outcome ; Spinal Cord
مستخلص: Background: Failed back surgery syndrome (FBSS) is a constellation of conditions occurring after spine surgeries, characterized by the presence of persistent or recurring low back pain that has a significant impact on patients' quality of life. Neuromodulation in the form of Spinal Cord Stimulation (SCS) is considered an indispensable treatment modality in the management of certain chronic pain conditions and it is showing good results for improvement in pain scores and functional capacity of the FBSS patients.
Objectives: To assess the change in pain scores, quality of life, and opioid medication intake as an outcome of neuromodulation procedures performed on patients diagnosed with failed back surgery syndrome, and to detect the post-procedure complications.
Methods: A prospective observational study was conducted at two university hospitals in Egypt and the U.S.A. during the period from September 2019 to August 2021 for patients who underwent spinal cord stimulation procedures for FBSS with follow-up period of at least 1 year. Patients who are 18 years old or older diagnosed with FBSS for more than 6 months and treated with spinal cord stimulation with successful trials during this time frame were included in the study.
Results: Thirty-four patients were included in this study who had successful SCS trials and underwent permanent implantation of SCS devices with post-procedure follow-up period of 12 months. Patients showed a median pain numerical rating scale (NRS) of 7/10 at baseline with a median NRS of 4/10 through the follow-up period. Basic mobility and daily activity scores assessed by activity measure of post-acute care (AM-PAC) showed significant improvement from the mean of 16.87 ± 2.74 at baseline to a mean of 19.97 ± 2.93 through follow-up. In addition, there was a reduction in opioid medication usage. Post-procedure complications was of low percentage with the most detected were battery dysfunction in 7 patients and pocket pain in 6 patients. Reoperation was needed in 13 patients with 4 needed just revision and 9 patients required a complete removal of the device.
Conclusion: Spinal cord stimulation is an effective modality of treatment for cases of failed back surgery syndrome with a statistically significant reduction in pain scores and a significant improvement in quality of life. Also, it achieves a recognizable reduction in opioid analgesic medications, with a reliable safety profile as detected with the recorded post-procedure complications. However, randomized controlled trials with more patients and long-term follow-up are highly recommended.
(© 2023 World Institute of Pain.)
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فهرسة مساهمة: Keywords: epidural neurostimulation; failed back surgery syndrome; low back pain; neuromodulation; spinal cord stimulation
المشرفين على المادة: 0 (Analgesics, Opioid)
0 (Analgesics)
تواريخ الأحداث: Date Created: 20230927 Date Completed: 20240215 Latest Revision: 20240215
رمز التحديث: 20240215
DOI: 10.1111/papr.13300
PMID: 37753793
قاعدة البيانات: MEDLINE
الوصف
تدمد:1533-2500
DOI:10.1111/papr.13300