The Role of Additional Spine Surgery in the Management of Failed Back Surgery Syndrome, Complex Regional Pain Syndrome, and Intractable Pain in the Setting of Previous or Concurrent Spinal Cord Stimulation: Indications and Outcomes

2019 ◽  
Vol 125 ◽  
pp. e416-e423
Author(s):  
Andres L. Maldonado-Naranjo ◽  
Joshua L. Golubovsky ◽  
Leonardo A. Frizon ◽  
Olivia Hogue ◽  
Darlene A. Lobel ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Complex Regional Pain Syndrome ◽  
Spine Surgery ◽  
Spinal Cord Stimulation ◽  
Pain Syndrome ◽  
Failed Back Surgery Syndrome ◽  
Intractable Pain ◽  
Failed Back Surgery ◽  
Back Surgery

Application of spinal cord stimulation in the treatment of persistent pain in failed back surgery syndrome

2018 ◽  
Vol 20 (2) ◽  
pp. 43-49
Author(s):  
A. В. Dmitriev ◽  
D. A. Rzaev ◽  
N. P. Denisova
Keyword(s):  
Spinal Cord ◽  
Hospital Discharge ◽  
Spinal Cord Stimulation ◽  
Pain Syndrome ◽  
Failed Back Surgery Syndrome ◽  
Drug Resistant ◽  
Neurogenic Pain ◽  
Study Objective ◽  
Failed Back Surgery ◽  
Back Surgery

The study objectiveis to demonstrate our experience of the spinal cord stimulation in the treatment of drug-resistant pain in patients with the failed back surgery syndrome (FBSS) and to evaluate its effectiveness and complications.Materials and methods.Systems for chronic spinal cord stimulation were implanted in 78 patients suffering from FBSS in Federal Neurosurgical Center (Novosibirsk) during 2013–2015. All patients had a drug-resistant neurogenic pain syndrome character and were undergone surgical intervention on the spine. Evaluating of the treatment effectiveness was carried out by visual analogue scale (VAS) and a scale Douleur Neuropathique en 4 Questions (DN4). Catamnesis ranged from 6 to 18 months.Results.The median preoperative VAS score evaluation was 6.7, at hospital discharge – 3.1, after 6 months – 3.2, after 12 months – 3.5, after 18 months – 3.4. Evaluation on a scale DN4 before surgery was 5.3, at hospital discharge – 2.1, after 6 months – 2.4, after 12 months – 2.5, after 18 months – 2.4. Complications in the form of migration, fracture of the electrodes and development of hemorrhage or inflammation at the site of implantation of the system were observed in 12 (15.3 %) cases and required revision surgery.Conclusion.Spinal stimulation is an effective and safe method of treatment of pain in FBSS, but it has specific complications associated with implantable systems.

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