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

Building better tiny kidneys to test drugs and help people avoid dialysis

February 16, 2018
A free online kidney atlas built by USC researchers empowers stem cell scientists everywhere to generate more human-like tiny kidneys for testing new drugs and creating renal replacement therapies.

Expanding Hepatitis C testing to all adults is cost-effective and improves outcomes

February 16, 2018
According to a new study, screening all adults for hepatitis C (HCV) is a cost-effective way to improve clinical outcomes of HCV and identify more infected people compared to current recommendations. Using a simulation model, ...

Study suggests expanded range for emerging tick-borne disease

February 16, 2018
Human cases of Borrelia miyamotoi, a tick-borne infection with some similarities to Lyme disease, were discovered in the eastern United States less than a decade ago. Now new research led by the Yale School of Public Health ...

Flu shot only 36 percent effective, making bad year worse (Update)

February 15, 2018
The flu vaccine is doing a poor job protecting older Americans and others against the bug that's causing most illnesses.

IFN-mediated immunity to influenza A virus infection influenced by RIPK3 protein

February 15, 2018
Each year, influenza kills half a million people globally with the elderly and very young most often the victims. In fact, the Centers for Disease Control and Prevention reported 37 children have died in the United States ...

A new class of drug to treat herpes simplex virus-1 infection

February 14, 2018
For patients with the herpes simplex-1 virus (HSV-1), there are just a handful of drugs available to treat the painful condition that can affect the eyes, mouth and genitals.

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.