Preoperative SRS pain score is the primary predictor of postoperative pain after surgery for adolescent idiopathic scoliosis: an observational retrospective study of pain outcomes from a registry of 1744 patients with a mean follow-up of 3.4 years

Hwang, Steven W.; Pendleton, Courtney; Samdani, Amer F.; Bastrom, Tracey P.; Keeny, Heather; Lonner, Baron S.; Newton, Peter O.; Pahys, Joshua M.

doi:10.1007/s00586-020-06293-y

Cited by 14 publications

(17 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pediatric chronic pain research in non-surgical samples similarly suggests that older age and female sex are related to higher chronic pain severity and impact. [22][23][24][25] Yet, across pediatric perioperative studies, no associations have been found between pediatric CPSP and child age, 13,26,27 sex, 13,26,28 or socioeconomic factors (eg, family income 13,26 and parents' education). 16 However, small sample sizes with wide age ranges, as well as limited diversity within samples (eg, inclusion of predominantly white, high-income families) limit our understanding of sociodemographic predictors of CPSP.…”

Section: Premorbid Factors Demographic Factorsmentioning

confidence: 99%

“…The majority of studies that measured preoperative pain at a single timepoint or based on children's retrospective recall found that intensity of bodily pain before surgery was associated with the incidence of CPSP. 9,12,26,27,45,46 However, studies that better captured the preoperative pain experience through prospectively recorded daily pain scores over multiple days preoperatively found no relationship with development of CPSP. 13,16 Several studies have also examined preoperative pain distribution and centralized pain symptoms (fibromyalgia symptoms), dimensions of pain that have garnered a lot of attention in adult surgical populations, [47][48][49][50] as risk factors for pediatric CPSP.…”

Section: Medical Factorsmentioning

confidence: 99%

“…Similarly, no relationship has been found between children's preoperative weight/body mass index and subsequent development of CPSP. 8,26,27,46,53 However, given the limited investigation of the role of medical factors on the development of CPSP, this is an area that requires further study before conclusions can be drawn.…”

Section: Medical Factorsmentioning

confidence: 99%

“…9,10,13,28 Studies focused on spinal fusion surgery also largely failed to identify relationships between surgical factors and pain outcomes: surgical approach, curve parameters (eg, Cobb angle, curve flexibility, shoulder height difference), and indicators of the extent of surgery (spinal fusion length, lowest instrumented vertebrae, scar size, and percent of spinal curve corrected) were not associated with CPSP. 9,12,26,27,45,51,53 Studies examining surgical duration as a proxy for extent of spine surgery in youth also have not identified a relationship with CPSP. 26,51 Larger studies are needed in pediatric populations to more fully explore associations between surgical factors and CPSP in a broader range of surgeries.…”

Section: Injury and Recovery Factors Related To Injury (Surgery)mentioning

confidence: 99%

See 3 more Smart Citations

<p>A Conceptual Model of Biopsychosocial Mechanisms of Transition from Acute to Chronic Postsurgical Pain in Children and Adolescents</p>

Rabbitts¹,

Palermo²,

Lang³

2020

JPR

View full text Add to dashboard Cite

Acute and chronic pain are highly prevalent and impactful consequences of surgery across the lifespan, yet a comprehensive conceptual model encompassing biopsychosocial factors underlying acute to chronic pain transition is lacking, particularly in youth. Building on prior chronic postsurgical pain models, we propose a new conceptual model of biopsychosocial mechanisms of transition from acute to chronic postsurgical pain. This review aims to summarize existing research examining key factors underlying acute to chronic postsurgical pain transition in order to guide prevention and intervention efforts aimed at addressing this health issue in children. As pain transitions from acute nociceptive pain to chronic pain, changes in the peripheral and central nervous system contribute to the chronification of pain after surgery. These changes include alterations in sensory pain processing and psychosocial processes (psychological, behavioral, and social components), which promote the development of chronic pain. Patient-related premorbid factors (eg, demographic factors, genetic profile, and medical factors such as premorbid pain) may further modulate these changes. Factors related to acute injury and recovery (eg, surgical and treatment factors), as well as biological response to surgery (eg, epigenetic, inflammatory, and endocrine factors), may also influence this process. Overall, longitudinal studies examining temporal pathways of biopsychosocial processes including both risk and resiliency factors will be essential to identify the mechanisms involved in the transition from acute to chronic pain. Research is also needed to unravel connections between the acute pain experience, opioid exposure, and sensory pain processing during acute to chronic pain transition. Furthermore, future studies should include larger and more diverse samples to more fully explore risk factors in a broader range of pediatric surgeries. The use of conceptual models to guide intervention approaches targeting mechanisms of transition from acute to chronic pain will significantly advance this field and improve outcomes for children and adolescents undergoing surgery.

show abstract

Section: Premorbid Factors Demographic Factorsmentioning

confidence: 99%

Section: Medical Factorsmentioning

confidence: 99%

Section: Medical Factorsmentioning

confidence: 99%

Section: Injury and Recovery Factors Related To Injury (Surgery)mentioning

confidence: 99%

See 2 more Smart Citations

<p>A Conceptual Model of Biopsychosocial Mechanisms of Transition from Acute to Chronic Postsurgical Pain in Children and Adolescents</p>

Rabbitts¹,

Palermo²,

Lang³

2020

JPR

View full text Add to dashboard Cite

show abstract

“…Actually, there is no evidence that spine surgery would prevent low back pain in the long term (Danielsson & Nachemson 2003 ; Upasani et al 2008 ; Weiss et al 2016b ). The best predictor for having back pain after surgery obviously is back pain before surgery (Hwang, Pendleton & Samdani 2020 ). Post-surgical patients might have about the same amount of back pain as untreated patients with spinal deformities (Danielsson & Nachemson 2003 ), sometimes also disabling pain leading to revision surgery (Mueller & Gluch 2012 ; Zhang & Zhang 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Is there an indication for surgery in patients with spinal deformities? – A critical appraisal

Weiss¹,

Nan²,

Potts

2021

South African Journal of Physiotherapy

View full text Add to dashboard Cite

Background: High-quality evidence exists to support physiotherapy and brace treatment for scoliosis and other spinal deformities. However, according to previous systematic reviews, it seems that no evidence exists for surgery. Nevertheless, the number of research articles focussing on spinal surgery highly exceeds the number of articles focussing on conservative treatment.Objective: The purpose of this study is to conduct an updated search for systematic reviews providing high-quality evidence for spinal surgery in patients with spinal deformities.Method: A narrative review including PubMed and the Cochrane database was conducted on April 12, 2020, with the following search terms: (1) spinal deformities, surgery, systematic review and outcome; (2) kyphosis, surgery, systematic review and outcome; (3) Scheuermann’s disease, surgery, systematic review and outcome, and (4) scoliosis, surgery, systematic review and outcome.Results: No reviews containing prospective controlled or randomised controlled studies were found providing evidence for surgery.Conclusions: A general indication for spine surgery just based on the Cobb angle is not given. In view of the long-term unknown variables and the possible long-term complications of such treatment, a surgical indication for patients with spinal deformities must be reviewed on an individual basis and considered carefully. A current systematic review appears necessary in order to be able to draw final conclusions on the indication for surgery in patients with spinal deformities.Clinical implications: In view of the increasing number of surgeons with an affiliation to industry, the indication for surgery needs to be given by independent conservative specialists for spinal deformities in order to provide an objective recommendation.

show abstract

In-hospital opioid usage following posterior spinal fusion for adolescent idiopathic scoliosis: Does methadone offer an advantage when used with an ERAS pathway?

et al. 2021

View full text Add to dashboard Cite

Preoperative SRS pain score is the primary predictor of postoperative pain after surgery for adolescent idiopathic scoliosis: an observational retrospective study of pain outcomes from a registry of 1744 patients with a mean follow-up of 3.4 years

Cited by 14 publications

References 13 publications

<p>A Conceptual Model of Biopsychosocial Mechanisms of Transition from Acute to Chronic Postsurgical Pain in Children and Adolescents</p>

<p>A Conceptual Model of Biopsychosocial Mechanisms of Transition from Acute to Chronic Postsurgical Pain in Children and Adolescents</p>

Is there an indication for surgery in patients with spinal deformities? – A critical appraisal

In-hospital opioid usage following posterior spinal fusion for adolescent idiopathic scoliosis: Does methadone offer an advantage when used with an ERAS pathway?

Contact Info

Product

Resources

About