Spinal Cord Stimulation in Failed Back Surgery Syndrome: Review of Clinical Use, Quality of Life and Cost-Effectiveness
| Autor: | Agnieszka Przygocka, Marta Modrić, Przemyslaw M. Waszak, Stanislav M. Malyshev, Tomasz Szmuda, Agnieszka Paturej, Hanna Garnier |
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| Rok vydání: | 2016 |
| Předmět: |
Failed back surgery syndrome
Low back pain Pain management Spinal cord stimulation medicine.medical_specialty Cost effectiveness medicine.medical_treatment lcsh:Medicine 03 medical and health sciences 0302 clinical medicine Quality of life Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Letter to the Editor Rehabilitation integumentary system business.industry lcsh:R Chronic pain medicine.disease Treatment efficacy nervous system Physical therapy Surgery medicine.symptom business tissues 030217 neurology & neurosurgery Failed back surgery |
| Zdroj: | Asian Spine Journal, Vol 10, Iss 6, Pp 1195-1204 (2016) Asian Spine Journal |
| ISSN: | 1976-7846 1976-1902 |
| DOI: | 10.4184/asj.2016.10.6.1195 |
| Popis: | Failed back surgery syndrome (FBSS) is complex and recurrent chronic pain after spinal surgery. Several important patient and surgery related risk factors play roles in development of FBSS. Inadequate selection of the candidates for the spinal surgeries is one of the most crucial causes. The guidelines suggest that conservative management featuring pharmacologic approaches and rehabilitation should be introduced first. For therapy-refractory FBSS, spinal cord stimulation (SCS) is recommended in selected patients. Treatment efficacy for FBSS has increased over the years with the majority of patients experiencing pain relief and reduced medicinal load. Improved quality of life can also be achieved using SCS. Cost- effectiveness of SCS still remains unclear. However evidence for SCS role in FBSS is controversial, SCS can be beneficial for carefully classified patients. |
| Databáze: | OpenAIRE |
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