Article
Orthopedics
Hiroshi Takahashi, Yasuchika Aoki, Masahiro Inoue, Junya Saito, Arata Nakajima, Masato Sonobe, Yorikazu Akatsu, Keita Koyama, Yasuhiro Shiga, Kazuhide Inage, Yawara Eguchi, Sumihisa Orita, Satoshi Maki, Takeo Furuya, Tsutomu Akazawa, Tetsuya Abe, Toru Funayama, Hiroshi Noguchi, Kousei Miura, Kentaro Mataki, Yosuke Shibao, Fumihiko Eto, Mamoru Kono, Masao Koda, Masashi Yamazaki, Seiji Ohtori, Koichi Nakagawa
Summary: Patients with lumbar disc herniation treated with discectomy may experience improvement in radicular low back pain while in motion, suggesting successful nerve root decompression. Residual low back pain while sitting post-surgery may indicate increased load and pressure on the disc and endplate.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Medicine, General & Internal
Ivar M. Austevoll, Erland Hermansen, Morten W. Fagerland, Kjersti Storheim, Jens I. Brox, Tore Solberg, Frode Rekeland, Eric Franssen, Clemens Weber, Helena Brisby, Oliver Grundnes, Knut R. H. Algaard, Tordis Boker, Hasan Banitalebi, Kari Indrekvam, Christian Hellum
Summary: A trial in Norway found that decompression surgery alone was noninferior to decompression with instrumented fusion in terms of the percentage of patients who experienced a 30% reduction in pain and disability scores over a 2-year period, with a noninferiority margin of -15 percentage points.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Article
Orthopedics
Manuel Ramirez-Gonzalez, Norberto J. Torres-Lugo, David Deliz-Jimenez, Gabriel Echegaray-Casalduc, Norman Ramirez, Elfren Colon-Rodriguez, Juan Carro-Rivera, Antonio de la Cruz, Yamil Claudio-Roman, Jose Massanet-Volrath, Enrique Escobar-Medina, Jose Montanez-Huertas
Summary: The study aimed to determine whether an opioid-sparing multimodal analgesia regimen could be a viable alternative to diminish opioid use in Hispanic patients undergoing posterior lumbar spinal fusion. The results showed that the experimental group using the multimodal analgesia had significantly lower amounts of opioid use and pain intensity compared to the opioid-based group.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Clinical Neurology
Sachin P. Angadi, Karthik Ramachandran, Ajoy P. Shetty, Rishi M. Kanna, Rajasekaran Shanmuganathan
Summary: The preoperative assessment of pain sensitivity can predict postoperative analgesic requirements and aid in recovery. Patients with a lower pain threshold should be counseled preoperatively and also receive a better titration of analgesics perioperatively.
Article
Anesthesiology
Lijun Zhu, Mingcang Wang, Xiaodan Wang, Yu Wang, Lingyang Chen, Jun Li
Summary: Ultrasound-guided lumbar ESPB can significantly reduce analgesic consumption during and after lumbar fusion surgery, improve postoperative pain scores, and does not increase the risk of adverse events.
Article
Multidisciplinary Sciences
Rafal Staszkiewicz, Uladzislau Ulasavets, Pawel Dobosz, Szymon Drewniak, Ewa Niewiadomska, Beniamin Oskar Grabarek
Summary: This study assessed the quality of life of 113 Caucasian patients with intervertebral disc degeneration of the lumbosacral spine before and after microdiscectomy surgery. Pain level, satisfaction with life, and degree of ability were measured using various scales. The results showed that pain level decreased significantly after surgery, while satisfaction with life increased. There was a correlation between pain level, degree of disability, and radiological advancement of degenerative changes.
SCIENTIFIC REPORTS
(2023)
Article
Anesthesiology
Nan Ru, Cheng Su, Jianlong Li, Yang Li, Feifei Chen, Guodong Wang, Jianmin Sun, Xingang Cui
Summary: This study aimed to evaluate the variability of pain in different spinal structures during PELD. A retrospective study was conducted on 1,100 patients with LDH, and it was found that the posterior longitudinal ligament and nerve root/dural sac stimulation caused the most severe low back pain, while traction provoked more severe pain.
Article
Anesthesiology
Mei-Ping Qian, Mei-Rong Dong, Juan Li, Fang Kang
Summary: The duration of chronic low back pain was found to be associated with the intensity of acute postoperative pain after lumbar fusion surgery. Patients with a longer duration of chronic low back pain were more likely to experience moderate to severe acute postoperative pain and required a greater amount of analgesics after surgery.
BMC ANESTHESIOLOGY
(2022)
Article
Clinical Neurology
Nathan Evaniew, Ganesh Swamy, W. Bradley Jacobs, Jacques Bouchard, Roger Cho, Neil A. Manson, Y. Raja Rampersaud, Jerome Paquet, Christopher S. Bailey, Michael Johnson, Najmedden Attabib, Charles G. Fisher, Greg McIntosh, Kenneth C. Thomas
Summary: This study evaluated the effects of lumbar fusion surgery for patients with back pain and degenerative disc disease in the Canadian Spine Outcomes and Research Network. Results showed significant improvement in back pain, disability, and health-related quality of life at 12 months post-surgery, with a high rate of patient satisfaction. The study suggests that surgery for this indication may provide benefit and further research is warranted.
GLOBAL SPINE JOURNAL
(2022)
Article
Orthopedics
Christopher M. Brusalis, Roland Duculan, Frank P. Cammisa, Andrew A. Sama, Alexander P. Hughes, Carol A. Mancuso, Federico P. Girardi
Summary: Patients with predominantly leg pain have higher preoperative expectations for lumbar spine surgery compared to those with predominantly back pain, but both groups reported similar levels of fulfillment of their expectations at 2 years postoperatively.
Article
Clinical Neurology
Kevin C. Jacob, Madhav R. Patel, Nisheka N. Vanjani, Hanna Pawlowski, Michael C. Prabhu, Kern Singh
Summary: This study compared the clinical outcomes and symptom improvement in patients with predominant back pain versus predominant leg pain who underwent lumbar fusion surgery for isthmic spondylolisthesis. The results showed that patients with predominant back pain had better long-term clinical outcomes in terms of reported back pain, leg pain, and disability compared to those with predominant leg pain.
WORLD NEUROSURGERY
(2022)
Article
Orthopedics
Z. Y. Feng, X. J. Hu, Q. Q. Zheng, M. C. Battie, Z. Chen, Y. Wang
Summary: The study revealed that cartilaginous endplate avulsion following lumbar disc herniation surgery is associated with residual back and leg pain, Modic changes, and endplate defects. Histologically, avulsed cartilaginous endplates show multiple defects, inflammatory responses, and nucleus invasion, potentially linked to NLRP3 inflammasome related inflammations.
OSTEOARTHRITIS AND CARTILAGE
(2021)
Article
Medicine, General & Internal
Philipp Krauss, Stefan Motov, Maximilian Niklas Bonk, Andrea Prescher, Jasmin Scorzin, Mohammad Mehdi Hajiabadi, Dirk Michael Schulte, Bjoern Sommer, Marcel Seiz-Rosenhagen, Rezvan Ahmadi, Jaroslaw Maciaczyk, Jens Lehmberg, Ehab Shiban
Summary: This study compares high-frequency neuromodulation with spinal instrumentation surgery for the treatment of patients with PSPS2. The study aims to provide high-level evidence for the commonly used treatment options in this severely disabling condition by using comprehensive assessment measures such as ODI, VAS, SF-36, EuroQOL5D, and excluding certain patient conditions.
Review
Medicine, General & Internal
Lu-kai Zhang, Qiang Li, Ren-Fu Quan, Jun-Sheng Liu
Summary: Preemptive analgesia has been shown to be safe and effective for reducing postoperative pain, lowering morphine consumption, shortening hospital stay without increasing complications in lumbar spine surgery based on the results of this study.
Article
Orthopedics
Berkcan Akpinar, Lawrence J. Lin, David A. Bloom, Thomas Youm
Summary: The study revealed that concurrent lumbar spinal stenosis in FAI patients undergoing hip arthroscopy can negatively impact postoperative clinical outcomes. Despite improvements in PROs postoperatively, the hip-spine group had lower scores compared to the control group at 1-year and 2-year follow-ups.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2021)