Neuropathic pain after spinal surgery

Jae Hwan Cho, Jae Hyup Lee, Kwang Sup Song, Jae-Young Hong

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Neuropathic pain after spinal surgery, the so-called failed back surgery syndrome (FBSS), is a frequently observed troublesome disease entity. Although medications may be effective to some degree, many patients continue experiencing intolerable pain and functional disability. Only gabapentin has been proven effective in patients with FBSS. No relevant studies regarding manipulation or physiotherapy for FBSS have been published. Spinal cord stimulation (SCS) has been widely investigated as a treatment option for chronic neuropathic pain, including FBSS. SCS was generally accepted to improve chronic back and leg pain, physical function, and sleep quality. Although the cost effectiveness of SCS has been proved in many studies, its routine application is limited considering that it is invasive and is associated with safety issues. Percutaneous epidural adhesiolysis has also shown good clinical outcomes; however, its effects persisted for only a short period. Because none of the current methods provide absolute superiority in terms of clinical outcomes, a multidisciplinary approach is required to manage this complex disease. Further studies concerning the etiology, diagnosis, treatment, and cost effectiveness of FBSS are warranted to deepen our understanding of this condition.

Original languageEnglish
Pages (from-to)642-652
Number of pages11
JournalAsian Spine Journal
Volume11
Issue number4
DOIs
Publication statusPublished - 2017 Aug 1

Fingerprint

Failed Back Surgery Syndrome
Neuralgia
Spinal Cord Stimulation
Chronic Pain
Cost-Benefit Analysis
Back Pain
Health Care Costs
Leg
Sleep
Safety
Pain

Keywords

  • Failed back surgery syndrome
  • Neuralgia
  • Percutaneous adhesiolysis
  • Spinal cord stimulation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Neuropathic pain after spinal surgery. / Cho, Jae Hwan; Lee, Jae Hyup; Song, Kwang Sup; Hong, Jae-Young.

In: Asian Spine Journal, Vol. 11, No. 4, 01.08.2017, p. 642-652.

Research output: Contribution to journalReview article

Cho, Jae Hwan ; Lee, Jae Hyup ; Song, Kwang Sup ; Hong, Jae-Young. / Neuropathic pain after spinal surgery. In: Asian Spine Journal. 2017 ; Vol. 11, No. 4. pp. 642-652.
@article{55c3ffe5c1f3463a8673ae3aa9cb52e6,
title = "Neuropathic pain after spinal surgery",
abstract = "Neuropathic pain after spinal surgery, the so-called failed back surgery syndrome (FBSS), is a frequently observed troublesome disease entity. Although medications may be effective to some degree, many patients continue experiencing intolerable pain and functional disability. Only gabapentin has been proven effective in patients with FBSS. No relevant studies regarding manipulation or physiotherapy for FBSS have been published. Spinal cord stimulation (SCS) has been widely investigated as a treatment option for chronic neuropathic pain, including FBSS. SCS was generally accepted to improve chronic back and leg pain, physical function, and sleep quality. Although the cost effectiveness of SCS has been proved in many studies, its routine application is limited considering that it is invasive and is associated with safety issues. Percutaneous epidural adhesiolysis has also shown good clinical outcomes; however, its effects persisted for only a short period. Because none of the current methods provide absolute superiority in terms of clinical outcomes, a multidisciplinary approach is required to manage this complex disease. Further studies concerning the etiology, diagnosis, treatment, and cost effectiveness of FBSS are warranted to deepen our understanding of this condition.",
keywords = "Failed back surgery syndrome, Neuralgia, Percutaneous adhesiolysis, Spinal cord stimulation",
author = "Cho, {Jae Hwan} and Lee, {Jae Hyup} and Song, {Kwang Sup} and Jae-Young Hong",
year = "2017",
month = "8",
day = "1",
doi = "10.4184/asj.2017.11.4.642",
language = "English",
volume = "11",
pages = "642--652",
journal = "Asian Spine Journal",
issn = "1976-1902",
publisher = "Korean Society of Spine Surgery",
number = "4",

}

TY - JOUR

T1 - Neuropathic pain after spinal surgery

AU - Cho, Jae Hwan

AU - Lee, Jae Hyup

AU - Song, Kwang Sup

AU - Hong, Jae-Young

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Neuropathic pain after spinal surgery, the so-called failed back surgery syndrome (FBSS), is a frequently observed troublesome disease entity. Although medications may be effective to some degree, many patients continue experiencing intolerable pain and functional disability. Only gabapentin has been proven effective in patients with FBSS. No relevant studies regarding manipulation or physiotherapy for FBSS have been published. Spinal cord stimulation (SCS) has been widely investigated as a treatment option for chronic neuropathic pain, including FBSS. SCS was generally accepted to improve chronic back and leg pain, physical function, and sleep quality. Although the cost effectiveness of SCS has been proved in many studies, its routine application is limited considering that it is invasive and is associated with safety issues. Percutaneous epidural adhesiolysis has also shown good clinical outcomes; however, its effects persisted for only a short period. Because none of the current methods provide absolute superiority in terms of clinical outcomes, a multidisciplinary approach is required to manage this complex disease. Further studies concerning the etiology, diagnosis, treatment, and cost effectiveness of FBSS are warranted to deepen our understanding of this condition.

AB - Neuropathic pain after spinal surgery, the so-called failed back surgery syndrome (FBSS), is a frequently observed troublesome disease entity. Although medications may be effective to some degree, many patients continue experiencing intolerable pain and functional disability. Only gabapentin has been proven effective in patients with FBSS. No relevant studies regarding manipulation or physiotherapy for FBSS have been published. Spinal cord stimulation (SCS) has been widely investigated as a treatment option for chronic neuropathic pain, including FBSS. SCS was generally accepted to improve chronic back and leg pain, physical function, and sleep quality. Although the cost effectiveness of SCS has been proved in many studies, its routine application is limited considering that it is invasive and is associated with safety issues. Percutaneous epidural adhesiolysis has also shown good clinical outcomes; however, its effects persisted for only a short period. Because none of the current methods provide absolute superiority in terms of clinical outcomes, a multidisciplinary approach is required to manage this complex disease. Further studies concerning the etiology, diagnosis, treatment, and cost effectiveness of FBSS are warranted to deepen our understanding of this condition.

KW - Failed back surgery syndrome

KW - Neuralgia

KW - Percutaneous adhesiolysis

KW - Spinal cord stimulation

UR - http://www.scopus.com/inward/record.url?scp=85028364564&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028364564&partnerID=8YFLogxK

U2 - 10.4184/asj.2017.11.4.642

DO - 10.4184/asj.2017.11.4.642

M3 - Review article

AN - SCOPUS:85028364564

VL - 11

SP - 642

EP - 652

JO - Asian Spine Journal

JF - Asian Spine Journal

SN - 1976-1902

IS - 4

ER -