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Neuropathic Pain after Adolescent Idiopathic Scoliosis Correction Surgery
STUDY DESIGN: Prospective study. PURPOSE: To investigate the prevalence and the associated risk factors of chronic neuropathic pain symptoms using painDETECT questionnaire in adolescent idiopathic scoliosis (AIS) patients who underwent posterior spinal fusion (PSF) surgery. OVERVIEW OF LITERATURE: P...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Spine Surgery
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561147/ https://www.ncbi.nlm.nih.gov/pubmed/33108852 http://dx.doi.org/10.31616/asj.2020.0006 |
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author | Hasan, Mohd Shahnaz Goh, Khean Jin Yip, Hing Wa Mohamad, Siti Mariam Chan, Teik Seng Chong, Kok Ian Haseeb, Amber Chiu, Chee Kidd Wei, Chris Chan Yin Kwan, Mun Keong |
author_facet | Hasan, Mohd Shahnaz Goh, Khean Jin Yip, Hing Wa Mohamad, Siti Mariam Chan, Teik Seng Chong, Kok Ian Haseeb, Amber Chiu, Chee Kidd Wei, Chris Chan Yin Kwan, Mun Keong |
author_sort | Hasan, Mohd Shahnaz |
collection | PubMed |
description | STUDY DESIGN: Prospective study. PURPOSE: To investigate the prevalence and the associated risk factors of chronic neuropathic pain symptoms using painDETECT questionnaire in adolescent idiopathic scoliosis (AIS) patients who underwent posterior spinal fusion (PSF) surgery. OVERVIEW OF LITERATURE: Post-lumbar surgery syndrome is a disease entity that describes neuropathic pain following spinal surgery. However, few studies have investigated the prevalence and risk factors for neuropathic pain in pediatric population undergoing corrective spinal surgery. METHODS: Forty AIS patients were recruited. Demographic, preoperative, and postoperative data were recorded. The magnitude and characteristics of postoperative pain were assessed using the painDETECT questionnaire through telephone enquiries at intervals of 2, 6, 12, and 24 weeks. Statistical analyses were followed by Pearson correlation test to determine the relationship between pain scores at 6, 12, and 24 weeks with the risk factors. RESULTS: Based on the painDETECT questionnaire, 90% of the patients had nociceptive pain, and 10% had a possible neuropathic pain component at 2 weeks postoperatively as per a mean painDETECT score of 7.1±4.5. Assessments at 6, 12, and 24 weeks showed that no patients had neuropathic pain with painDETECT scores of 4.4±3.2, 2.9±2.9, and 1.5±2.0, respectively. There was a significant correlation between total postoperative morphine use during 48 hours after the surgery and a tendency to develop neuropathic pain (p=0.022). CONCLUSIONS: Chronic neuropathic pain was uncommon in AIS patients who had undergone PSF surgery. Higher opioid consumption will increase the possibility of developing chronic neuropathic pain. |
format | Online Article Text |
id | pubmed-8561147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Society of Spine Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-85611472021-11-12 Neuropathic Pain after Adolescent Idiopathic Scoliosis Correction Surgery Hasan, Mohd Shahnaz Goh, Khean Jin Yip, Hing Wa Mohamad, Siti Mariam Chan, Teik Seng Chong, Kok Ian Haseeb, Amber Chiu, Chee Kidd Wei, Chris Chan Yin Kwan, Mun Keong Asian Spine J Clinical Study STUDY DESIGN: Prospective study. PURPOSE: To investigate the prevalence and the associated risk factors of chronic neuropathic pain symptoms using painDETECT questionnaire in adolescent idiopathic scoliosis (AIS) patients who underwent posterior spinal fusion (PSF) surgery. OVERVIEW OF LITERATURE: Post-lumbar surgery syndrome is a disease entity that describes neuropathic pain following spinal surgery. However, few studies have investigated the prevalence and risk factors for neuropathic pain in pediatric population undergoing corrective spinal surgery. METHODS: Forty AIS patients were recruited. Demographic, preoperative, and postoperative data were recorded. The magnitude and characteristics of postoperative pain were assessed using the painDETECT questionnaire through telephone enquiries at intervals of 2, 6, 12, and 24 weeks. Statistical analyses were followed by Pearson correlation test to determine the relationship between pain scores at 6, 12, and 24 weeks with the risk factors. RESULTS: Based on the painDETECT questionnaire, 90% of the patients had nociceptive pain, and 10% had a possible neuropathic pain component at 2 weeks postoperatively as per a mean painDETECT score of 7.1±4.5. Assessments at 6, 12, and 24 weeks showed that no patients had neuropathic pain with painDETECT scores of 4.4±3.2, 2.9±2.9, and 1.5±2.0, respectively. There was a significant correlation between total postoperative morphine use during 48 hours after the surgery and a tendency to develop neuropathic pain (p=0.022). CONCLUSIONS: Chronic neuropathic pain was uncommon in AIS patients who had undergone PSF surgery. Higher opioid consumption will increase the possibility of developing chronic neuropathic pain. Korean Society of Spine Surgery 2021-10 2020-10-29 /pmc/articles/PMC8561147/ /pubmed/33108852 http://dx.doi.org/10.31616/asj.2020.0006 Text en Copyright © 2021 by Korean Society of Spine Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Hasan, Mohd Shahnaz Goh, Khean Jin Yip, Hing Wa Mohamad, Siti Mariam Chan, Teik Seng Chong, Kok Ian Haseeb, Amber Chiu, Chee Kidd Wei, Chris Chan Yin Kwan, Mun Keong Neuropathic Pain after Adolescent Idiopathic Scoliosis Correction Surgery |
title | Neuropathic Pain after Adolescent Idiopathic Scoliosis Correction Surgery |
title_full | Neuropathic Pain after Adolescent Idiopathic Scoliosis Correction Surgery |
title_fullStr | Neuropathic Pain after Adolescent Idiopathic Scoliosis Correction Surgery |
title_full_unstemmed | Neuropathic Pain after Adolescent Idiopathic Scoliosis Correction Surgery |
title_short | Neuropathic Pain after Adolescent Idiopathic Scoliosis Correction Surgery |
title_sort | neuropathic pain after adolescent idiopathic scoliosis correction surgery |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561147/ https://www.ncbi.nlm.nih.gov/pubmed/33108852 http://dx.doi.org/10.31616/asj.2020.0006 |
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