Related Experiment Videos
Post-lumbar surgery complex regional pain syndrome
1Department of Anesthesiology and Pain Management, Portsmouth Naval Medical Center 620, John Paul Jones Circle Portsmouth, VA 23708, USA. dfish@mednet.ucla.edu
Pain Physician
|July 20, 2006
Summary
This case report details a patient who developed complex regional pain syndrome Type 2 after sacroiliac fusion surgery. Early intervention with physical therapy and chemical sympathectomies led to pain resolution.
Area of Science:
- Pain Medicine
- Neurosurgery
- Orthopedic Surgery
Background:
- A patient presented with chronic back pain managed with injections.
- Underwent left sacroiliac arthrodesis for persistent lumbosacral pain.
Purpose of the Study:
- To identify a rare complication of sacroiliac fusion.
- To describe the presentation and management of complex regional pain syndrome Type 2.
Main Methods:
- A 65-year-old male underwent sacroiliac fusion.
- Developed distal extremity pain, allodynia, and hyperesthesia post-operatively.
- Diagnosed with complex regional pain syndrome Type 2 (causalgia) via EMG, nerve conduction studies, and bone scan.
Main Results:
- Percutaneous chemical sympathectomies provided significant pain relief.
- Aggressive physical therapy contributed to the resolution of the pain syndrome.
Conclusions:
- Sacroiliac arthrodesis can be associated with complex regional pain syndrome Type 2.
- Early intervention is crucial for long-term resolution of this debilitating condition.