Pre-op back pain, pain sensitivity predict outcomes

January 26, 2015
Pre-op back pain, pain sensitivity predict outcomes

(HealthDay)—Preoperative back pain and individual pain sensitivity can predict postoperative pain following lumbar surgery, according to a study published in the December issue of Pain Medicine.

Ho-Joong Kim, M.D., from the Seoul National University College of Medicine in South Korea, and colleagues evaluated patients who underwent decompression surgery alone (62 patients) or decompression with fusion surgery (37 patients) for . The Pain Sensitivity Questionnaire (PSQ) and visual analog pain scale (VAS) for back pain and leg pain were administered preoperatively, as well as immediately following surgery (H0) and at 4, 8, 18, 30, 48, and 72 hours post-surgery (H4, H8, H18,
H30, H48, and H72).

The researchers found that, postoperatively, both groups showed decreased back pain and . Preoperative VAS for back pain was significantly correlated with postoperative VAS for back pain at H0, H4, H8, and H18 in the fusion group, while PSQ minor/total PSQ showed a significant correlation with postoperative back pain at H48 and H72. In the decompression group, only total PSQ and PSQ minor were significantly correlated with postoperative back pain at H18 and H30. Both preoperative back pain and PSQ minor were predictive of immediate postoperative back pain (from H0 to H18) in the fusion group and delayed postoperative back pain (H18, H30) in the decompression group.

"The study highlights that each preoperative back pain and individual could predict the different aspects of after lumbar surgery," the authors write.

Explore further: Depression influences post-op satisfaction in older patients

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Depression influences post-op satisfaction in older patients

October 30, 2014
(HealthDay)—For older patients undergoing revision lumbar surgery, preoperative depression influences patient satisfaction two years after surgery, according to research published in the Sept. 1 issue of Spine.

Pre-op depression tied to fewer gains in QOL after spinal surgery

December 30, 2014
(HealthDay)—For patients undergoing lumbar decompression or posterior cervical fusion (PCF), preoperative depression is associated with lower improvements in postoperative quality of life (QOL), according to two studies ...

Bolus epidural fentanyl cuts post-spinal decompression pain

September 7, 2012
(HealthDay)—Intraoperative bolus epidural fentanyl is effective at alleviating early postoperative pain after lumbar canal decompression, according to a study published online Aug. 27 in The Spine Journal.

Pre-op pain patterns affect stenosis surgery outcomes

March 7, 2014
(HealthDay)—For patients with spinal stenosis without degenerative spondylolisthesis, predominance of back pain (BP) versus leg pain (LP) is associated with worse surgical outcomes, according to a study published in the ...

Topical diclofenac unnecessary post-photorefractive keratectomy

January 9, 2015
(HealthDay)—For patients undergoing photorefractive keratectomy surgery, the administration of postoperative topical diclofenac does not alleviate pain, but is effective for local signs such as eyelid edema, according to ...

Patient-selected audio therapy may ease pediatric post-op pain

January 15, 2015
(HealthDay)—Going through a surgery often means postoperative pain for children, but listening to their favorite music might help ease their discomfort, according to a new study published online Jan. 3 in Pediatric Surgery ...

Recommended for you

Tibetan sheep highly susceptible to human plague, originates from marmots

August 16, 2018
In the Qinghai-Tibet plateau, one of the region's highest risk areas for human plague, Himalayan marmots are the primary carriers of the infectious bacterium Y. pestis. Y. pestis infection can be transmitted to humans and ...

Autoimmunity plays role in development of COPD, study finds

August 16, 2018
Autoimmunity plays a role in the development of chronic obstructive pulmonary disease (COPD), according to a study led by Georgia State University and Vanderbilt University Medical Center that analyzed human genome information ...

Reliable point-of-care blood test can help prevent toxoplasmosis

August 16, 2018
A recent study, performed in Chicago and Rabat, Morocco, found that a novel finger-prick test for infection with the parasite Toxoplasma gondii during pregnancy—and many other potential applications—is 100 percent sensitive ...

Scientists identify nearly 200 potential tuberculosis drug targets

August 16, 2018
Tuberculosis is one of the top 10 causes of death worldwide. Nearly 2 million people die every year from this infectious disease, and an estimated 2 billion people are chronically infected. The only vaccine, developed almost ...

First mouse model to mimic lung disease could speed discovery of more effective treatments

August 16, 2018
The biggest hurdle to finding effective therapies for idiopathic pulmonary fibrosis (IPF) – a life-threatening condition in which the lungs become scarred and breathing is increasingly difficult – has been the inability ...

Anticancer drug offers potential alternative to transplant for patients with liver failure

August 15, 2018
Patients suffering sudden liver failure could in the future benefit from a new treatment that could reduce the need for transplants, research published today shows.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.