Influence of Pain Sensitivity on Surgical Outcomes After Lumbar Spine Surgery in Patients With Lumbar Spinal Stenosis

Kim, Ho-Joong; Lee, Jeong Ik; Kang, Kyoung‐Tak; Chang, Bong Soon; Lee, Choon-Ki; Ruscheweyh, Ruth; Kang, Seok; Yeom, Jin Sup

doi:10.1097/brs.0000000000000699

Cited by 57 publications

(103 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results of our study support the results of at least two of the earlier studies 3,6 whereas the other two studies found no strong associations. 7,18 Copyright © 2016 Wolters Kluwer Health, Inc.…”

Section: Main Findingssupporting

confidence: 89%

“…In contrast to our analysis the four studies 3,6,7,18 included in the systematic review assessed only up to three different MRI parameters with various clinical outcomes. The results of our study support the results of at least two of the earlier studies 3,6 whereas the other two studies found no strong associations.…”

Section: Main Findingsmentioning

confidence: 98%

“…Table 2 summarizes the relevant information from the studies showing no association. One study 3 used the anteroposterior spinal canal diameter and the other study 6 a grading of canal stenosis (ratio:…”

Section: Study Characteristicsmentioning

confidence: 99%

“…2 To the present, the relationship between abnormal magnetic resonance imaging (MRI) findings and pain is still debated. [3][4][5][6][7] It has been shown that symptoms often poorly correlate with radiologic findings. 4 Ishimoto et al 8 reported that a substantial number of asymptomatic persons showed a moderate or even severe narrowing of the spinal canal (defined as more than ⅓ or ⅔ area loss respectively) in the MRI.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Is There an Association Between Pain and Magnetic Resonance Imaging Parameters in Patients With Lumbar Spinal Stenosis?

Burgstaller

Schüffler

Buhmann

et al. 2016

Spine

View full text Add to dashboard Cite

(2016). Is there an association between pain and magnetic resonance imaging parameters in patients with lumbar spinal stenosis? Spine, 41(17) : AbstractStudy design: Prospective multi-center cohort study.Objective: To identify an association between pain and magnetic resonance imaging (MRI) parameters in patients with lumbar spinal stenosis (LSS). Summary of Background Data:To the present, the relationship between abnormal MRI findings and pain in patients with LSS is still unclear.Methods: First we conducted a systematic literature search. We identified relationships of relevant MRI parameters and pain in patients with LSS. Second, we addressed the study question with a thorough descriptive and graphical analysis to establish a relationship between MRI parameters and pain using data of the lumbar spinal stenosis outcome study (LSOS).Results: In the systematic review including four papers about the associations between radiological findings in the MRI and pain, the authors of two articles reported no association and two of them did. Of the latters, only one study found a moderate correlation between leg pain measured by Visual Analogue Scale (VAS) and the degree of stenosis assessed by spine surgeons. In the data of the LSOS study we could not identify a relevant association between any of the MRI parameters and buttock, leg and back pain, quantified by the Spinal Stenosis Measure (SSM) and the Numeric Rating Scale (NRS). Even by restricting the analysis to the level of the lumbar spine with the most prominent radiological 'stenosis' no relevant association could be shown. Conclusion:Despite a thorough analysis of the data we were not able to prove any correlation between radiological findings (MRI) and the severity of pain. There is a need for innovative 'methods/techniques' to learn more about the causal relationship between radiological findings and the patients' pain related complaints.

show abstract

Section: Main Findingssupporting

confidence: 89%

Section: Main Findingsmentioning

confidence: 98%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is There an Association Between Pain and Magnetic Resonance Imaging Parameters in Patients With Lumbar Spinal Stenosis?

Burgstaller

Schüffler

Buhmann

et al. 2016

Spine

View full text Add to dashboard Cite

show abstract

“…3 Multivariate logistic regression analysis of the factors influencing surgical decision making. Male sex, Oswestry Disability Index, morphological stenotic grades C and D, and motor weakness were independent predictors of a surgical decision for treating lumbar stenosis (the odds of the morphological stenotic grades C and D were described, compared to the next lower grade of stenosis, B and C, respectively) that there was no correlation between ODI and the radiologic stenotic grade in the present study and earlier studies [16,26], the morphological stenotic grade may independently influence the shared decision-making process, leading to surgery.…”

Section: Discussioncontrasting

confidence: 49%

Factors influencing the surgical decision for the treatment of degenerative lumbar stenosis in a preference-based shared decision-making process

et al. 2014

Self Cite

View full text Add to dashboard Cite

Introduction In a preference-based shared decision-making system, several subjective and/or objective factors such as pain severity, degree of disability, and the radiological severity of canal stenosis may influence the final surgical decision for the treatment of lumbar spinal stenosis (LSS). However, our understanding of the shared decision-making process and the significance of each factor remain primitive. In the present study, we aimed to investigate which factors influence the surgical decision for the treatment of LSS when using a preference-based, shared decisionmaking process. Methods We included 555 patients, aged 45-80 years, who used a preference-based shared decision-making process and were treated conservatively or surgically for chronic leg and/or back pain caused by LSS from April 2012 to December 2012. Univariate and multivariableadjusted logistic regression analyses were used to assess the association of surgical decision making with age, sex, body mass index, symptom duration, radiologic stenotic grade, Oswestry Disability Index (ODI), visual analog scale (VAS) scores for back and leg pain, Short Form-36 (SF-36) subscales, and motor weakness. Results In univariate analysis, the following variables were associated with a higher odds of a surgical decision for LSS: male sex; the VAS score for leg pain; ODI; morphological stenotic grades B, C, and D; motor weakness; and the physical function, physical role, bodily pain, social function, and emotional role of the SF-36 subscales. Multivariate analysis revealed that male sex, ODI, morphological stenotic grades C and D, and motor weakness were significantly associated with a higher possibility of a surgical decision. Conclusion Motor weakness, male sex, morphological stenotic grade, and the amount of disability are critical factors leading to a surgical decision for LSS when using a preference-based shared decision-making process.

show abstract

Influence of increased pain sensitivity on patient-reported outcomes following total knee arthroplasty

Kim

Koh

Sung

et al. 2021

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose The purpose of this study was to discover whether increased pain sensitivity was associated with postoperative pain and patient-reported outcome measures (PROMs) after total knee arthroplasty (TKA). Methods Pain sensitivity was evaluated preoperatively using a pain sensitivity questionnaire (PSQ). Resting, walking, nighttime, and average pain visual analog scale (VAS) were measured before surgery and 6 weeks, 3 months, 6 months, and 1 year after surgery. PROMs were also evaluated based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and patient satisfaction. The association between pain VAS average score, WOMAC total score, and PSQ score (minor, moderate, and total score) was assessed at each stage. Results There were 59 patients with a high PSQ score (≥ 5.2) and 53 with a low PSQ score (< 5.2). Up to 1 year postoperatively, the group with high PSQ scores had higher resting, walking, nighttime, and average pain VAS scores than the group with low scores (all p < 0.05). Worse preoperative WOMAC pain, function, and total scores continued until 1 year after surgery in the high-scoring PSQ group (all p < 0.05). The group with low PSQ scores was more satisied with surgery than the group with high scores (p = 0.027). There was a positive correlation between preoperative PSQ score and pain VAS average score at all time points (all p < 0.05). A relationship between PSQ score and WOMAC total score was also observed (all p < 0.05). Conclusion Increased pain sensitivity is a factor related to higher postoperative pain levels and inferior PROMs in patients undergoing primary TKA. Level of evidence Case-controlled study, III.

show abstract

Influence of Pain Sensitivity on Surgical Outcomes After Lumbar Spine Surgery in Patients With Lumbar Spinal Stenosis

Abstract: 2.

Cited by 57 publications

References 27 publications

Is There an Association Between Pain and Magnetic Resonance Imaging Parameters in Patients With Lumbar Spinal Stenosis?

Is There an Association Between Pain and Magnetic Resonance Imaging Parameters in Patients With Lumbar Spinal Stenosis?

Factors influencing the surgical decision for the treatment of degenerative lumbar stenosis in a preference-based shared decision-making process

Influence of increased pain sensitivity on patient-reported outcomes following total knee arthroplasty

Contact Info

Product

Resources

About