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Neuropathic Pain after Spinal Surgery.
Jae Hwan Cho1, Jae Hyup Lee2, Kwang-Sup Song3
1Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Asian Spine Journal
|September 7, 2017
Summary
Failed back surgery syndrome (FBSS) causes significant pain and disability, with limited effective treatments. A multidisciplinary approach is needed for managing this complex condition.
Area of Science:
- Neurosurgery
- Pain Management
- Rehabilitation Medicine
Background:
- Failed back surgery syndrome (FBSS) is a common and debilitating condition following spinal surgery.
- Existing treatments, including medications like gabapentin, offer limited relief for many patients.
- Current therapeutic options lack absolute superiority, necessitating novel management strategies.
Purpose of the Study:
- To review the current understanding of neuropathic pain after spinal surgery (FBSS).
- To evaluate the efficacy and limitations of existing treatments for FBSS.
- To highlight the need for a comprehensive, multidisciplinary approach to FBSS management.
Main Methods:
- Literature review of studies on FBSS treatments.
- Analysis of evidence for pharmacological interventions (e.g., gabapentin).
- Evaluation of interventional procedures like spinal cord stimulation (SCS) and percutaneous epidural adhesiolysis.
Main Results:
- Gabapentin is the only medication proven effective for FBSS.
- Spinal cord stimulation (SCS) shows promise for pain, function, and sleep but has safety concerns and cost limitations.
- Percutaneous epidural adhesiolysis offers short-term benefits.
Conclusions:
- No single treatment is definitively superior for FBSS.
- A multidisciplinary approach integrating various therapies is essential for optimal patient outcomes.
- Further research into FBSS etiology, diagnosis, treatment, and cost-effectiveness is crucial.
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