Evaluation of Central Sensitization Inventory in Patients Undergoing Elective Spine Surgery in a Multicenter Study.

Autor:	Akeda K; Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.; Department of Orthopedic Surgery, Iwasaki Hospital, Tsu, Japan., Yamada J; Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.; Department of Orthopedic Surgery, Iwasaki Hospital, Tsu, Japan., Takegami N; Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan., Fujiwara T; Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan., Murata K; Department of Orthopedic Surgery, Tomidahama Hospital, Yokkaichi, Japan., Kono T; Department of Orthopedic Surgery, Tomidahama Hospital, Yokkaichi, Japan., Sudo T; Department of Orthopedic Surgery, Murase Hospital, Suzuka, Japan., Imanishi T; Department of Orthopedic Surgery, Murase Hospital, Suzuka, Japan., Asanuma Y; Department of Orthopedic Surgery, Murase Hospital, Suzuka, Japan., Kurata T; Department of Orthopedic Surgery, Sakakibara Onsen Hospital, Tsu, Japan., Kawakita E; Department of Orthopedic Surgery, Saiseikai Matsusaka General Hospital, Matsusaka, Japan., Sakakibara T; Department of Orthopedic Surgery, Japanese Red Cross Ise Hospital, Ise, Japan., Kondo T; Department of Orthopedic Surgery, Murase Hospital, Suzuka, Japan., Takegami K; Department of Orthopedic Surgery, Saiseikai Matsusaka General Hospital, Matsusaka, Japan., Sato M; Department of Orthopedic Surgery, Iga City General Hospital, Iga, Japan., Sudo A; Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Jazyk:	angličtina
Zdroj:	Global spine journal [Global Spine J] 2023 Sep; Vol. 13 (7), pp. 1716-1727. Date of Electronic Publication: 2021 Oct 21.
DOI:	10.1177/21925682211047473
Abstrakt:	Study Design: This study is a retrospective review. Objective: Central sensitization (CS) is a neurological phenomenon that involves hypersensitivity of the central nervous system. The central sensitization inventory (CSI) was developed as a screening tool to assess CS-related symptoms. The purpose of this study was to evaluate the association of preoperative CSI scores with patient-reported outcome measures (PROMs) including neurological symptoms for patients who underwent spine surgeries in a multicenter study. Methods: A consecutive 673 patients who underwent spine surgery at 8 different institutions were included in this study. Preoperative CSI scores were assessed for all subjects. The participants completed the following PROMs: the Oswestry Disability Index (ODI), the Japanese Orthopaedic Association (JOA) back pain evaluation questionnaire (JOABPEQ) for lumbar spinal diseases, and the JOA cervical myelopathy evaluation questionnaire (JOACMEQ) for cervical spinal diseases. The association of CSI scores with PROMs was statistically evaluated. Results: The average CSI score for the total subjects was 23.6 ± 13.5. The subjects with CS-related symptoms (CSI ≥ 40) were 13.2% (n = 89). The CSI score showed a significant and weak-to-moderate correlation with the PROMs including neurological symptoms that included all the domains of the JOACMEQ for cervical spinal diseases, and JOABPEQ and ODI for lumbar spinal diseases. Among these, psychological factors had the most influence on the correlation with CSI score. Conclusion: Central sensitization evaluated by the CSI is related to neurological symptoms and health-related quality of life in patients undergoing elective spine surgery.
Databáze:	MEDLINE
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