Evaluation of the Effect of Repetitive Transcranial Magnetic Stimulation of Motor Cortex on Failed Back Surgery Syndrome Pain Control in the Short Term.

Autor:	Soltani A; Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.; Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran., Ghavipisheh M; Department of Psychiatry, Shiraz University of Medical Sciences, Shiraz, Iran., Ardakani RM; Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.; Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran., Ahrari I; Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.; Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran., Salehi S; Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Farrokhi MR; Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.; Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Jazyk:	angličtina
Zdroj:	Journal of neurological surgery. Part A, Central European neurosurgery [J Neurol Surg A Cent Eur Neurosurg] 2024 Mar; Vol. 85 (2), pp. 164-170. Date of Electronic Publication: 2022 Dec 17.
DOI:	10.1055/a-2000-6349
Abstrakt:	Background:  This study aimed to evaluate the short-term efficacy of repetitive transcranial magnetic stimulation (rTMS) on the treatment of failed back surgery syndrome (FBSS). Methods:  In this prospective clinical trial study, 13 patients with FBSS were selected to undergo rTMS, including 5 sessions of stimulation of the primary motor cortex of 90 trains with a frequency of 10 Hz for 2 seconds and an intertrain interval of 20 seconds with a total pulse rate of 1800 per session. The time of each session was 30 minutes with an intensity of 80% of the motor threshold. The severity of pain before and after the intervention was measured by the short-form McGill Pain Questionnaire and visual analog scale (VAS). Results:  The mean of pain severity was 26.54 ± 6.78 and 14.92 ± 10.1 before and after rTMS, respectively. The severity of pain was significantly decreased after the intervention ( p  = 0.001). According to the McGill Pain Questionnaire, the severity of pain in the patients was decreased by 44.09 ± 27.32. The mean of the severity of pain according to VAS was 77.31 ± 16.66 before rTMS and 53.46 ± 22.49 after rTMS, which showed that pain intensity was significantly decreased after the intervention ( p  = 0.006). Conclusions:  The use of rTMS of the primary motor cortex in patients who have undergone lumbosacral spine surgery and suffer from pain related to FBSS is associated with a significant reduction in the severity of pain. Because rTMS is a noninvasive treatment method, it can be used as a suitable treatment in these patients. Competing Interests: None declared. (Thieme. All rights reserved.)
Databáze:	MEDLINE
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