Incidence of neurological deficits of post spinal surgery syndrome
Keywords:
Numbness, Myelopathy, Paralysis, Radiculopathy, Spine injuryAbstract
Background: Post spinal surgery syndrome (PSSS) is characterized by chronic discomforts post one or more spine operations. Despite advancements in surgical technology, failure rate of back operations has not decreased. These conditions may occur preoperatively, intraoperatively, and postoperatively. Objectives: The primary purpose of this investigation was to ascertain the incidence and causes of neurological complications in patients who have undergone spinal surgery and subsequently developed PSSS. Methods: Cross sectional research was performed at Mardan Medical Complex, Mardan, comprising 82 patients (50 males and 32 females). X-ray studies, MRI, and electromyography was the tool for initial lumbar surgery to confirm the initial diagnosis. Participants were requested to submit the questionnaire and then, their scores were calculated and analyzed as per standard protocols. Results: The potential causes of PSSS, indicated 16 (19.5%) patients with incorrect diagnosis, 24 (29.3%) of the due to surgical technical errors, 10 (12.2%) due to improper pre-operative patient selection and 20 (24.4%) as a result of recurrent disc herniation after surgery. The frequency of cases of complications was spinal fusion (64.09%), followed by kinesiophobia (47.38%), laminectomy (45.98%), depression (40.3%), numbness in lower limbs (36.9%), myelopathy (14.5%) and other neurological deficits (12.56%).
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Vargas SR, Chavarria CO, Kalfopolus BZ, Olivares LMR, Aguirre AA, Sanchez AAR. Profile of the patient with failed back surgery syndrome in the Instituto Nacional de Rehabilitación. Comparative analysis. Cirugía y Cirujanos. 2015;83(2):117-123.
Baber Z, Erdek MA. Failed back surgery syndrome: current perspectives. J Pain Res. 2016 Nov 7;9:979-987.
Orhurhu VJ, Chu R, Gill J. Failed Back Surgery Syndrome. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023 Jan.
Talbot L. Failed back surgery syndrome. BMJ. 2003 Oct 25;327(7421):985-6.
Cho JH, Lee JH, Song KS, Hong JY. Neuropathic Pain after Spinal Surgery. Asian Spine J. 2017 Aug;11(4):642-652.
Elahi F, Hitchon P, Reddy G. Acute Sciatic Neuritis following Lumbar Laminectomy. Case reports in Medicine. 2014 June:404386.
Choi YK. Lumbar foraminal neuropathy: an update on non-surgical management. Korean J Pain. 2019 Jul 1;32(3):147-159.
Woo AK. Depression and Anxiety in Pain. Rev Pain. 2010 Mar;4(1):8-12.
Ahuja C, Wilson J, Nori S, et al. Traumatic spinal cord injury. Nat Rev Dis Primers. 2017;3:17018.
Cheung JP, Luk KD. Complications of Anterior and Posterior Cervical Spine Surgery. Asian Spine J. 2016 Apr;10(2):385-400.
Bordoni B, Marelli F. Failed back surgery syndrome: review and new hypotheses. J Pain Res. 2016 Jan 12;9:17-22.
Christelis N, Simpson B, Russo M, Hicks MS, Barolat G, Thomson S, Schug S, Baron R, et al. Persistent Spinal Pain Syndrome: A Proposal for Failed Back Surgery Syndrome and ICD-11, Pain Med. 2021 April; 22(4):807–818.
Ganty P, Sharma M. Failed back surgery syndrome: a suggested algorithm of care. Br J Pain. 2012 Nov;6(4):153-61.
Patel VB, Wasserman R, Imani F. Interventional Therapies for Chronic Low Back Pain: A Focused Review (Efficacy and Outcomes). Anesth Pain Med. 2015 Aug 22;5(4):e29716.
Harvey AG, Gumport NB. Evidence-based psychological treatments for mental disorders: modifiable barriers to access and possible solutions. Behav Res Ther. 2015 May;68:1-12.
Ramnarayan R, Chaurasia B. The post spinal surgery syndrome: A review. J Craniovert Jun Spine 2023;14:4-10.
Costanzo R, Ferini G, Brunasso L, Bonosi L, Porzio M, Benigno UE, et al. The role of 3D‑printed custom‑made vertebral body implants in the treatment of spinal tumors: A systematic review. Life (Basel) 2022;12:489.
Nicoletti GF, Umana GE, Chaurasia B, Ponzo G, Giuffrida M, Vasta G, et al. Navigation‑assisted extraforaminal lumbar disc microdiscectomy: Technical note. J Craniovertebr Junction Spine. 2020;11:316‑20.
Muralidharan A, Shoap W, Robaidi KA, Thirumala PD. Postoperative Neurological Complications Following Revision Spine Surgery: A State Inpatient Database Analysis. Int J Spine Surg. 2020;14(4):607–614.
Digre KB, Brennan KC. Shedding light on photophobia. J Neuroophthalmol. 2012 Mar;32(1):68-81.
Monje M, Fisher PG. Neurological complications following treatment of children with brain tumors. J Pediatr Rehabil Med. 2011;4(1):31-6.
Leonhard SE, Mandarakas MR, Gondim FAA, et al. Diagnosis and management of Guillain–Barré syndrome in ten steps. Nat Rev Neurol. 2019;15:671–683.
Shahrokhi M, Asuncion RMD. Neurologic Exam. In: StatPearls Treasure Island (FL): StatPearls Publishing; 2023 Jan.
Lu VM, Goyal A, Quinones-Hinojosa A, Chaichana KL. Updated incidence of neurological deficits following insular glioma resection: A systematic review and meta-analysis. Clin Neurol Neurosurg. 2019 Feb;177:20-26.
Zetterling M, Elf K, Semnic R, Latini F, Engström ER. Time course of neurological deficits after surgery for primary brain tumours. Acta Neurochir (Wien). 2020 Dec;162(12):3005-3018.
Bhise D, Palkar A, Kumar A. Prevalence of Kinesiophobia in Post Spinal Surgery Patients. Int J Health Sci Res. 2021 Oct;11(10):202-208.
Loubresse CG. Review article: Neurological risks in the scheduled spinal surgery. Orthopaed Traumat Surg Res. 2014;100:585-590.
Gilberto Gomez, Clinical and radiographic outcomes using third-generation bioactive glass as a bone graft substitute for multi-level anterior cervical discectomy and fusion—a retrospective case series study. J Spine Surg. 2021 June;7(2):124–131.
Bayard R. Wilson et al. Depression after Spinal Surgery: A Comparative Analysis of the California Outcome Database. Mayo Clin Proc. 2017 Jan;92(1):88-97.
Kristin R. Archer, Early postoperative fear of movement predicts pain, disability, and physical health six months after spinal surgery for degenerative conditions. Spine J. 2014;14 :759–767.
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