Kích thích tủy sống so với phẫu thuật lưng hông lặp lại cho cơn đau mạn tính: Một thử nghiệm ngẫu nhiên, có kiểm soát

Neurosurgery - Tập 56 Số 1 - Trang 98-107 - 2005
Richard B. North1,2,3, David H. Kidd1,2,3, Farrokh Farrokhi1,4,2,3, Steven A. Piantadosi1,2,3
1Department of Biostatistics, Johns Hopkins University School of Medicine, Baltimore, Maryland (Piantadosi)
2Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Kidd)
3Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (North)
4Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Farrokhi)

Tóm tắt

Tóm tắt MỤC TIÊU:

Cơn đau rễ thần kinh kéo dài hoặc tái phát sau phẫu thuật cột sống thắt lưng cùng thường liên quan đến sự chèn ép rễ thần kinh và thường được điều trị bằng phẫu thuật lặp lại hoặc, như phương án cuối cùng, bằng kích thích tủy sống (SCS). Chúng tôi đã tiến hành một thử nghiệm có kiểm soát, ngẫu nhiên, nhằm kiểm tra giả thuyết của chúng tôi rằng SCS có khả năng mang lại kết quả thành công cao hơn so với phẫu thuật lặp lại theo các tiêu chí tiêu chuẩn về giảm đau và kết quả điều trị, bao gồm cả việc sử dụng tài nguyên chăm sóc sức khỏe sau đó.

Từ khóa

#Kích thích tủy sống #phẫu thuật lưng hông #cơn đau mạn tính #thử nghiệm ngẫu nhiên #cột sống thắt lưng cùng

Tài liệu tham khảo

Ahn, 2000, Cauda equina syndrome secondary to lumbar disc herniation: A meta-analysis of surgical outcomes, Spine, 25, 1515, 10.1097/00007632-200006150-00010

American Association of Neurological Surgeons: Revision Surgery for Failed Back Surgery Syndrome: Neurosurgical Case Screening Guidelines, 1989, Park Ridge, AANS, 957

Arnoff, 1990, Multidisciplinary treatment of intractable pain syndromes, Adv Pain Res Ther, 13, 267

Boden, 1992, 3, The multiply operated lumbar spine, in Rothman RH, Simeone FA (eds): The Spine, 1899

Burchiel, 1996, Prospective, multicenter study of spinal cord stimulation for relief of chronic back and extremity pain, Spine, 21, 2786, 10.1097/00007632-199612010-00015

Burton, 1975, Dorsal column stimulation: Optimization of application, Surg Neurol, 4, 171

Cassisi, 1989, Independent evaluation of a multidisciplinary rehabilitation program for chronic low back pain, Neurosurgery, 25, 877, 10.1227/00006123-198912000-00005

De la Porte, 1983, Lumbosacral spinal fibrosis (spinal arachnoiditis): Its diagnosis and treatment by spinal cord stimulation, Spine, 8, 593, 10.1097/00007632-198309000-00005

Deyo, 1991, Fads in the treatment of low back pain, N Engl J Med, 325, 1039, 10.1056/NEJM199110033251411

Erickson, 1975, Percutaneous trial of stimulation for patient selection for implantable stimulating devices, J Neurosurg, 43, 440, 10.3171/jns.1975.43.4.0440

Erickson, 1983, Ten-year follow-up of dorsal column stimulation, in Bonica JJ (ed): Advances in Pain Research and Therapy, 583

Finnegan, 1979, Results of surgical intervention in the symptomatic multiply-operated back patient, J Bone Joint Surg Am, 61, A1077, 10.2106/00004623-197961070-00018

Greenwood, 1952, A study of the causes of failure in the herniated intervertebral disc operation, J Neurosurg, 9, 15, 10.3171/jns.1952.9.1.0015

Hirsch, 1963, The reliability of lumbar disc surgery, Clin Orthop, 29, 189

Jensen, 1986, The measurement of clinical pain intensity: A comparison of six methods, Pain, 27, 117, 10.1016/0304-3959(86)90228-9

Kälin, 1990, Chronic pain after multiple lumbar discectomies: Significance of intermittent spinal cord stimulation, Pain, 5, S241, 10.1016/0304-3959(90)92611-S

Kjellby-Wendt, 1998, Early active training after lumbar discectomy: A prospective, randomized, and controlled study, Spine, 23, 2345, 10.1097/00007632-199811010-00019

Koeze, 1987, Spinal cord stimulation and the relief of chronic pain, J Neurol Neurosurg Psychiatry, 50, 1424, 10.1136/jnnp.50.11.1424

Krainick, 1989, Dorsal column stimulation, in Wall PD, Melzack R (eds): Textbook of Pain, 701

Kumar, 1991, Treatment of chronic pain by epidural spinal cord stimulation: A 10-year experience, J Neurosurg, 75, 402, 10.3171/jns.1991.75.3.0402

Law, 1987, Targeting a spinal stimulator to treat the “failed back surgery syndrome.”, Appl Neurophysiol, 50, 437

Law, 1992, Spinal stimulation in the “failed back surgery syndrome”: Comparison of technical criteria for palliating pain in the leg versus in the low back, Acta Neurochir (Wien), 117, 95

Law, 1978, Reoperation after lumbar intervertebral disc surgery, J Neurosurg, 48, 259, 10.3171/jns.1978.48.2.0259

Lehmann, 1981, Repeat lumbar surgery: A review of patients with failure from previous lumbar surgery treated by spinal canal exploration and lumbar spinal fusion, Spine, 6, 615, 10.1097/00007632-198111000-00014

Long, 1982, The evaluation and treatment of low back pain, in Hendler NH, Wise TN, Long DM (eds): Diagnosis and Treatment of Chronic Pain

Long, 1975, Stimulation of the posterior columns of the spinal cord for relief of intractable pain, Surg Neurol, 4, 134

Long, 1981, Electrical stimulation of the spinal cord and peripheral nerves for pain control, Appl Neurophysiol, 44, 207

Long, 1988, Clinical features of the failed-back syndrome, J Neurosurg, 69, 61, 10.3171/jns.1988.69.1.0061

Melzack, 1975, The McGill Pain Questionnaire: Major properties and scoring methods, Pain, 1, 277, 10.1016/0304-3959(75)90044-5

Melzack, 1987, The short-form McGill Pain Questionnaire, Pain, 30, 191, 10.1016/0304-3959(87)91074-8

Nielson, 1975, Experience with dorsal column stimulation for relief of chronic intractable pain, Surg Neurol, 4, 148

North, 1999, The glass is half full: Commentary on the fallacy of 50% pain relief, Pain Forum, 8, 195, 10.1016/S1082-3174(99)70008-5

North, 1995, Spinal cord stimulation for chronic, intractable pain, in Schmidek HH, Sweet WH (eds): Operative Neurosurgical Techniques, 1403

North, 1984, Spinal cord stimulation for intractable pain: Eight-year followup, Pain, 20, 79, 10.1016/0304-3959(84)90247-1

North, 1991, Failed back surgery syndrome: Five-year followup in 102 patients undergoing repeated operation, Neurosurgery, 28, 685, 10.1227/00006123-199105000-00008

North, 1991, Failed back surgery syndrome: Five-year follow-up after spinal cord stimulator implantation, Neurosurgery, 28, 692, 10.1227/00006123-199105000-00009

North, 1977, Chronic stimulation via percutaneously inserted epidural electrodes, Neurosurgery, 1, 215, 10.1097/00006123-197709000-00024

North, 1994, Radiofrequency lumbar facet denervation: Analysis of prognostic factors, Pain, 57, 77, 10.1016/0304-3959(94)90110-4

North, 1991, Dorsal root ganglionectomy for failed back surgery syndrome: A five-year follow-up study, J Neurosurg, 74, 236, 10.3171/jns.1991.74.2.0236

North, 1996, Prognostic value of psychological testing in patients undergoing spinal cord stimulation: A prospective study, Neurosurgery, 39, 301, 10.1097/00006123-199608000-00013

North, 1993, Spinal cord stimulation for chronic, intractable pain: Two decades' experience, Neurosurgery, 32, 384, 10.1227/00006123-199303000-00008

Ohnmeiss, 1996, Prospective outcome evaluation of spinal cord stimulation in patients with intractable leg pain, Spine, 21, 1344, 10.1097/00007632-199606010-00013

Ostelo, 2003, Rehabilitation following first-time lumbar disc surgery: A systematic review within the framework of the Cochrane Collaboration, Spine, 28, 209, 10.1097/01.BRS.0000042520.62951.28

Shatin, 1986, Totally implantable spinal cord stimulation for chronic pain: Design and efficacy, Pacing Clin Electrophysiol, 9, 577, 10.1111/j.1540-8159.1986.tb06614.x

Sweet, 1975, Stimulation of the posterior columns of the spinal cord for pain control, Surg Neurol, 4, 133

Turner, 1992, Patient outcomes after lumbar spinal fusions, JAMA, 268, 907, 10.1001/jama.1992.03490070089049

Turner, 1995, Spinal cord stimulation for chronic low back pain: A systematic literature synthesis, Neurosurgery, 37, 1088, 10.1227/00006123-199512000-00008

Waddell, 1979, Failed lumbar disc surgery and repeat surgery following industrial injuries, J Bone Joint Surg Am, 61A, 201, 10.2106/00004623-197961020-00007

Wilkinson, 1991, The Failed Back Syndrome: Etiology and Therapy