Browse

Prediction of Postoperative Pain Intensity after Lumbar Spinal Surgery Using Pain Sensitivity and Preoperative Back Pain Severity

Cited 19 time in Web of Science Cited 19 time in Scopus
Authors
Kim, Ho-Joong; Park, Joon-Hee; Kim, Jang-Woo; Kang, Kyoung-Tak; Chang, Bong-Soon; Lee, Choon-Ki; Yeom, Jin S.
Issue Date
2014-12
Publisher
Wiley
Citation
Pain Medicine, Vol.15 No.12, pp. 2037-2045
Keywords
의약학Postoperative PainPreoperative Back PainPain SensitivityPain Sensitivity QuestionnaireLumbar Spinal Surgery
Abstract
ObjectivesTo investigate the role of preoperative pain sensitivity and preoperative symptom severity for prediction of postoperative pain intensity after lumbar spine surgery.MethodsThis study consisted of two groups who underwent decompression surgery alone (62 patients) or decompression with fusion surgery (37 patients) for lumbar spinal stenosis (LSS). Pain Sensitivity Questionnaire (PSQ) and visual analog pain scale (VAS) for back pain and leg pain were collected preoperatively with detailed medical history. The assessment was performed immediately after surgery when the patients had completely recovered and regained their complete consciousness from general anesthesia (H0) and subsequently 4, 8, 18, 30, 48, and 72 hours (H4, H8, H18, H30, H48, and H72) thereafter as they recovered.ResultsBoth groups showed a decrease in back pain and leg pain with the time postoperatively. In fusion group, preoperative VAS for back pain was significantly correlated with postoperative VAS for back pain at H0, H4, H8, and H18, and PSQ minor/total PSQ also showed a significant correlation with postoperative back pain at H48 and H72. In contrast, only total PSQ and PSQ minors were significantly correlated with postoperative back pain at H18 and H30 in decompression group. Hierarchical regression analysis finally showed that each preoperative back pain and PSQ minor was predictive of immediate postoperative back pain (from H0 to H18) in fusion group and delayed postoperative back pain (H18, H30) in decompression group.ConclusionsThe study highlights that each preoperative back pain and individual pain sensitivity could predict the different aspects of postoperative pain after lumbar surgery.
ISSN
1526-2375
Language
English
URI
https://hdl.handle.net/10371/93960
DOI
https://doi.org/10.1111/pme.12578
Files in This Item:
There are no files associated with this item.
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse