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Incidence and risk factors of spinal cord stimulation for persistent or recurrent pain after lumbar spine surgery : a population-based study |
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| Author: | Huttunen, Jukka1,2,3; von und zu Fraunberg, Mikael4; Ikäheimo, Tiina-Mari1,2; |
| Organizations: |
1Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland 2Department of Neurosurgery, Kuopio University Hospital, Kuopio, Finland 3Neurosurgery of KUH NeuroCenter, Kuopio University Hospital, PB 100, 70029 KYS, Kuopio, Finland
4Department of Neurosurgery, Oulu University Hospital, Oulu, Finland
5Department of Orthopedics, Helsinki University Hospital, Helsinki, Finland 6Health Economics and Equity in Health Care Unit, Finnish Institute for Health and Welfare, Helsinki, Finland 7Department of Orthopaedics, and Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio, Finland |
| Format: | article |
| Version: | published version |
| Access: | open |
| Online Access: | PDF Full Text (PDF, 0.6 MB) |
| Persistent link: | http://urn.fi/urn:nbn:fi-fe2023052648408 |
| Language: | English |
| Published: |
Springer Nature,
2022
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| Publish Date: | 2023-05-26 |
| Description: |
AbstractPurpose: This study aims to elucidate the incidence of and independent risk factors for spinal cord stimulator implantations for patients who underwent lumbar spine surgery. Methods: The PERFormance, Effectiveness, and Cost of Treatment (PERFECT) episodes database, which was established for selected diseases and procedures in Finland, includes all patients who underwent lumbar spine surgery for degenerative spine conditions or spinal cord stimulation (SCS) in Finland from 1986 to 2018. The data on age, sex, hospital diagnoses, surgical procedures, and causes of death were imported from the Finnish national registers into the PERFECT database. Results: Between 1986 and 2018, 157,824 patients had their first lumbar spine procedure and for 1769 (1.1%) of them, a subsequent SCS procedure was observed during the follow-up. The cumulative incidence of SCS for persistent or recurrent pain after lumbar disk herniation, spinal stenosis, degenerative disk disease, and spondylolysis and spondylolisthesis surgery at 15 years was 1.2%, 1.0%, 2.7%, and 2.6% respectively. At 15 years, the cumulative incidence of SCS for persistent or recurrent pain after lumbar spine surgery after five or more lumbar spinal operations was 11.9%. Conclusions: Repeated surgery was the most prominent significant risk factor for SCS for persistent or recurrent pain after lumbar spine surgery. The risk of SCS for persistent or recurrent pain after lumbar spine surgery increases significantly along with the number of lumbar spine procedures. When considering repeated lumbar spine surgery, careful evaluation of treatment options should take place to ensure good patient outcomes. see all
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| Series: |
Acta neurochirurgica |
| ISSN: | 0001-6268 |
| ISSN-E: | 0942-0940 |
| ISSN-L: | 0001-6268 |
| Volume: | 164 |
| Issue: | 10 |
| Pages: | 2645 - 2653 |
| DOI: | 10.1007/s00701-022-05268-w |
| OADOI: | https://oadoi.org/10.1007/s00701-022-05268-w |
| Type of Publication: |
A1 Journal article – refereed |
| Field of Science: |
3126 Surgery, anesthesiology, intensive care, radiology 3112 Neurosciences |
| Subjects: | |
| Funding: |
Open access funding provided by University of Eastern Finland (UEF) including Kuopio University Hospital. |
| Copyright information: |
© The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
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https://creativecommons.org/licenses/by/4.0/ |