Predictors of persistent postoperative pain after surgery for idiopathic scoliosis

被引:6
|
作者
Charalampidis, Anastasios [1 ,2 ]
Rundberg, Lina [3 ]
Moller, Hans [1 ,4 ]
Gerdhem, Paul [1 ,2 ]
机构
[1] Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Solna, Sweden
[2] Karolinska Univ Hosp, Dept Reconstruct Orthopaed, Stockholm, Sweden
[3] Danderyd Hosp, Dept Surg, Stockholm, Sweden
[4] Stockholm Ctr Spine Surg, Stockholm, Sweden
关键词
idiopathic scoliosis; predictors of postoperative pain; quality of life; patient reported outcome measures; QUALITY-OF-LIFE; SURGICAL-TREATMENT; PATIENT QUESTIONNAIRE; PREVALENCE; VERSION; SCORES; STATE;
D O I
10.1302/1863-2548.15.210090
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose To identify factors contributing to persistent postoperative pain in patients treated surgically for idiopathic scoliosis. Methods In total, 280 patients aged ten through 25 years at surgery, were identified in the Swedish Spine registry; all having preoperative and postoperative visual analogue scale (VAS) for back pain scores. The patients were divided into a high and low postoperative pain group based on the reported postoperative VAS for back pain scores (by using 45 mm on the 0 mm to 100 mm VAS scale as a cut-off). The patient-reported questionnaire included VAS for back pain, the 3-level version of EuroQol 5-dimensional (EQ-5D-3L) instrument, the EuroQol VAS (EQ-VAS) and the Scoliosis Research Society 22r instrument (SRS-22r). Predictors of postoperative back pain were searched in the preoperative data. Results The 67 (24%) patients that reported high postoperative VAS back pain (> 45 mm) also reported lower postoperative EQ-5D-3L, EQ-VAS and SRS-22r than patients with low postoperative VAS back pain (all p < 0.001). Two preoperative variables were independently associated with postoperative pain; each millimetre increase in preoperative VAS back pain (on the 0 mm to 100 mm scale) was associated with a higher risk of being in the high postoperative back pain group (odds ratio (OR) 1.03; 95% confidence interval (CI) 1.02 to 1.05) and each 1 point decrease on the preoperative SRS-22r mental health (scale from 1 to 5) was associated with a higher risk of being in the high postoperative back pain group (OR 1.68; 95% CI 1.03 to 2.73). Conclusion High preoperative back pain and low preoperative mental health are independent predictors of back pain after surgery for idiopathic scoliosis.
引用
收藏
页码:458 / 463
页数:6
相关论文
共 50 条
  • [31] Prevalence and Predictors of Postoperative Pain After Ear, Nose, and Throat Surgery
    Sommer, Michael
    Geurts, Jose W. J. M.
    Stessel, Bjorn
    Kessels, Alfons G. H.
    Peters, Madelon L.
    Patijn, Jacob
    van Kleef, Maarten
    Kremer, Bernd
    Marcus, Marco A. E.
    ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2009, 135 (02) : 124 - 130
  • [32] Improvement in Scoliosis Research Society-22R Pain Scores After Surgery for Adolescent Idiopathic Scoliosis
    Djurasovic, Mladen
    Glassman, Steven D.
    Sucato, Daniel J.
    Lenke, Lawrence G.
    Crawford, Charles H., III
    Carreon, Leah Y.
    SPINE, 2018, 43 (02) : 127 - 132
  • [33] Perioperative predictors of moderate and severe postoperative pain in idiopathic scoliosis patients following spinal correction and fusion operations
    Fan, Qingqing
    Xie, Han
    Ma, Zhengliang
    Chen, Zhengxiang
    Yan, Tianhua
    Ge, Weihong
    MEDICINE, 2018, 97 (46)
  • [34] Pain Medication Use Two Years After Adolescent Idiopathic Scoliosis Fusion Surgery
    Bastrom, Tracey P.
    Kelly, Michael P.
    Upasani, Vidyadhar V.
    Newton, Peter O.
    SPINE, 2024, 49 (01) : 15 - 21
  • [35] Predicting the pain continuum after adolescent idiopathic scoliosis surgery: A prospective cohort study
    Chidambaran, V.
    Ding, L.
    Moore, D. L.
    Spruance, K.
    Cudilo, E. M.
    Pilipenko, V.
    Hossain, M.
    Sturm, P.
    Kashikar-Zuck, S.
    Martin, L. J.
    Sadhasivam, S.
    EUROPEAN JOURNAL OF PAIN, 2017, 21 (07) : 1252 - 1265
  • [36] The efficacy of ketamine for postoperative pain control in adolescent patients undergoing spinal fusion surgery for idiopathic scoliosis
    Ryan M. Ricciardelli
    Noah M. Walters
    Maxwill Pomerantz
    Benjamin Metcalfe
    Farzana Afroze
    Melissa Ehlers
    Laura Leduc
    Paul Feustel
    Eric Silverman
    Allen Carl
    Spine Deformity, 2020, 8 : 433 - 440
  • [37] The efficacy of ketamine for postoperative pain control in adolescent patients undergoing spinal fusion surgery for idiopathic scoliosis
    Ricciardelli, Ryan M.
    Walters, Noah M.
    Pomerantz, Maxwill
    Metcalfe, Benjamin
    Afroze, Farzana
    Ehlers, Melissa
    Leduc, Laura
    Feustel, Paul
    Silverman, Eric
    Carl, Allen
    SPINE DEFORMITY, 2020, 8 (03) : 433 - 440
  • [38] Back Pain and Its Change After Surgery in Adolescents and Young Adults With Idiopathic Scoliosis
    Tamás F. Fekete
    Anne F. Mannion
    Daniel Haschtmann
    Markus Loibl
    Frank S. Kleinstück
    Dezső J. Jeszenszky
    Spine Deformity, 2019, 7 : 754 - 758
  • [39] Back Pain and Its Change After Surgery in Adolescents and Young Adults With Idiopathic Scoliosis
    Fekete, Tamas F.
    Mannion, Anne F.
    Haschtmann, Daniel
    Loibl, Markus
    Kleinstueck, Frank S.
    Jeszenszky, Dezso J.
    SPINE DEFORMITY, 2019, 7 (05) : 754 - 758
  • [40] Spinal sagittal alignment and postoperative adding-on in patients with adolescent idiopathic scoliosis after surgery
    Han, Shu-Man
    Wen, Jin-Xu
    Cao, Lei
    Wu, Hui-Zhao
    Liu, Chang
    Yang, Chen
    Yang, Hui-Hui
    Wu, Wen-Juan
    Gao, Bu-Lang
    ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2022, 108 (06)