Perioperative Outcomes of Spinal Cord Stimulator Placement in Patients with Complex Regional Pain Syndrome Compared with Patients without Complex Regional Pain Syndrome

Martini, Michael L; Caridi, John M.; Zeldin, Lawrence; Neifert, Sean N; Nistal, Dominic A; Kim, Jinseong D.; Khelemsky, Yury; Gal, Jonathan S.

doi:10.1016/j.wneu.2020.01.061

Cited by 3 publications

(2 citation statements)

References 40 publications

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“…In our study, a severe pain condition before treatment was also a risk factor for the development of CRPS I, which was almost identical to previous studies [10,41] as reported by Barbara et al [41] that reported that basal pain sensitivity and modulation vary widely in different patients. The sensitization of the nervous system could partly explain this phenomenon [42,43]. Therefore, the baseline pain condition of fractures deserves more attention.…”

Section: Discussionmentioning

confidence: 99%

Determinants of complex regional pain syndrome type I in patients with scaphoid waist fracture- a multicenter prospective observational study

Gong

Zhao

Liu

et al. 2022

BMC Musculoskelet Disord

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Background The aim of this prospective study was to assess the incidence of complex regional pain syndrome type I (CRPS I) in patients with scaphoid waist fracture and to explore associated factors. Methods This was a multicenter, prospective observational study. Demographic, imaging indicators and clinical data were collected before the conservative treatment of scaphoid waist fracture patients. The occurrence of CRPS I and pain condition were the main outcomes. To explore the factors associated with CRPS I, multivariate logistic regression model was used. Results A total of 493 scaphoid waist fracture participants undergoing conservative treatment were recruited for this study. The incidence of CRPS I was 20% (n = 87). The average time between injury and the onset of CRPS I was 6.7 ± 2.1 weeks. Multivariable logistic regression analysis revealed that female sex (odds ratio (OR): 1.669; 95% confidence interval (CI): 1.189–2.338), diabetes mellitus (OR: 3.206; 95% CI: 2.284–4.492), and severe pain condition before treatment (visual analog scale (VAS) score more than 4 cm) (OR: 27.966; 95% CI: 19.924–39.187) were independently associated with CRPS I. Conclusions Patients suffering from scaphoid waist fracture may be at a higher risk of CRPS I, especially in women with diabetes mellitus who report severe pain before treatment. Early screening and regular follow up evaluation are recommended in these patients.

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Section: Discussionmentioning

confidence: 99%

Determinants of complex regional pain syndrome type I in patients with scaphoid waist fracture- a multicenter prospective observational study

Gong

Zhao

Liu

et al. 2022

BMC Musculoskelet Disord

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show abstract

“…reported that basal pain sensitivity and modulation vary widely in different patients. Many studies have reported that perioperative pain is one of the risk factors for CRPS I, which may be ascribed to sensitization of the nervous system 41,42 . Therefore, orthopedists should pay more attention to perioperative pain.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Complex Regional Pain Syndrome Type I among Radial Head Fracture Patients with Unilateral Arthroplasty

Wang

Jiang

Dai

et al. 2022

Orthopaedic Surgery

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Objective This study aims to assess the proportions of complex regional pain syndrome type I (CRPS I) in radial head fracture patients undergoing unilateral arthroplasty and to explore associated factors. Methods This is a prospective observational study. From March 2016 to May 2019, a total of 221 adult patients with radial head fracture patients were included in consecutive studies and completed the 1‐year follow‐up. All patients were treated by unilateral arthroplasty. At each follow‐up visit, the visual analogue scale was used to measure patients' pain level. Occurrence of CRPS I, which was diagnosed by Budapest criteria, was the main outcome collected at baseline and the 1‐, 3‐, 6‐, and 9‐month follow‐ups. The baseline data were collected before surgery and included demographic and clinical data. Independent t ‐tests and χ 2 tests were used as univariate analyses to compare the baseline data of patients with and without CRPS I. Multivariate analysis (Backword‐Wald) was used to identify factors independently associated with CRPS I. Results The proportion of CRPS I cases among radial head fracture patients undergoing unilateral arthroplasty was 11% ( n = 24). A total of 19 (79%) patients were diagnosed with CRPS I within 1 month after surgery. Multivariable logistic regression analysis revealed that female gender (odds ratios [OR]: 1.537; 95% confidence interval [CI]: 1.138–2.072), age younger than 60 years (OR: 1.682; 95% CI: 1.246–2.267), moderate and severe Mayo Elbow Performance Score (MEPS) pain (OR: 3.229; 95% CI: 2.392–4.351) and anxiety (OR: 83.346; 95% CI: 61.752–112.320) were independently associated with CRPS I. Conclusions This exploratory study reported that the incidence of CRPS I developing after radial head arthroplasty was 11%. Female sex, younger age, moderate and severe MEPS pain and anxiety patients seems more likely to develop CRPS I.

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Incidence and risk factors for complex regional pain syndrome in radius fractures: meta-analysis

Lorente

Mariscal

Lorente

2023

Arch Orthop Trauma Surg

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Perioperative Outcomes of Spinal Cord Stimulator Placement in Patients with Complex Regional Pain Syndrome Compared with Patients without Complex Regional Pain Syndrome

Cited by 3 publications

References 40 publications

Determinants of complex regional pain syndrome type I in patients with scaphoid waist fracture- a multicenter prospective observational study

Determinants of complex regional pain syndrome type I in patients with scaphoid waist fracture- a multicenter prospective observational study

Determinants of Complex Regional Pain Syndrome Type I among Radial Head Fracture Patients with Unilateral Arthroplasty

Incidence and risk factors for complex regional pain syndrome in radius fractures: meta-analysis

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