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Published on: June 26, 2018
[Chronic pain following spine surgery]
Abdürrahim Derbent1, Berna Yilmaz, Meltem Uyar
1Department of Anesthesiology and Reanimation, Ege University Faculty of Medicine, İzmir, Turkey. aderbent@gmail.com
Summary
Postoperative chronic pain, affecting 10-50% of spine surgery patients, can persist for months. Management involves medications like NSAIDs and opioids, alongside invasive nerve and central blocks.
Area of Science:
- Orthopedics
- Neurosurgery
- Pain Management
Context:
- Spine surgery procedures are increasing annually.
- Postoperative chronic pain is a significant complication following spinal surgeries.
- Pain lasting over 3-6 months post-surgery is defined as chronic.
Purpose:
- To review the causes, incidence, and treatment modalities for postoperative chronic pain after spine surgery.
Summary:
- Postoperative chronic pain arises from spinal column damage, instability, nerve compression, or prolonged nociception due to inflammation, infection, or tumors.
- The incidence of chronic pain post-spine surgery ranges widely from 10% to 50%.
- Treatment options include non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol, opioids, anticonvulsants, and invasive techniques like nerve and central blocks.
Impact:
- Highlights the prevalence and challenges of managing chronic pain after spine surgery.
- Provides an overview of current therapeutic strategies for clinicians and researchers.
- Emphasizes the need for effective pain management protocols in spinal surgery care pathways.
