Prevalence of Chronic Pain After Spinal Surgery: A Systematic Review and Meta-Analysis.
| Autor: | Alshammari HS; College of Medicine, King Saud University, Riyadh, SAU.; College of Medicine, AlMaarefa University, Riyadh, SAU., Alshammari AS; Department of Psychiatry, Eradah Hospital, Ministry of Health, Riyadh, SAU., Alshammari SA; Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, SAU., Ahamed SS; Department of Family and Community Medicine (Biostatistics), College of Medicine, King Saud University, Riyadh, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Jul 13; Vol. 15 (7), pp. e41841. Date of Electronic Publication: 2023 Jul 13 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.41841 |
| Abstrakt: | Degenerative disc disease and low back pain are common challenges that persist even after a discectomy. However, characterizations and quantifications of these illnesses from the patients' perspective are insufficient. We aimed to perform a systematic review of the literature and meta-analysis to determine the frequency of chronic pain after spinal surgery. We searched MEDLINE (PubMed), Google Scholar, and the Saudi Digital Library to retrieve research articles describing the frequency of persistent back pain, reoccurring disc herniation, and undergoing another operation following primary lumbar discectomy. We excluded articles that did not disclose the proportion of patients who experienced ongoing back or leg pain for over six months after the operation. We included 16 studies evaluating 85,643 patients. The pooled prevalence of persistent pain was 14.97% (95% confidence interval: 12.38-17.76). With all advancements in technology and operation techniques, many patients (14.97%) still have failed back surgery syndrome. Appropriate preoperative communication and multidisciplinary and coordinated treatment strategies yielded the best results. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Alshammari et al.) |
| Databáze: | MEDLINE |
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