Spinal Cord Stimulation in Failed Back Surgery Syndrome: Review of Clinical Use, Quality of Life and Cost-Effectiveness
Asian Spine Journal
;
: 1195-1204, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-43908
ABSTRACT
Failed back surgery syndrome (FBSS) is complex and recurrent chronic pain after spinal surgery. Several important patient and surgery related risk factors play roles in development of FBSS. Inadequate selection of the candidates for the spinal surgeries is one of the most crucial causes. The guidelines suggest that conservative management featuring pharmacologic approaches and rehabilitation should be introduced first. For therapy-refractory FBSS, spinal cord stimulation (SCS) is recommended in selected patients. Treatment efficacy for FBSS has increased over the years with the majority of patients experiencing pain relief and reduced medicinal load. Improved quality of life can also be achieved using SCS. Cost-effectiveness of SCS still remains unclear. However evidence for SCS role in FBSS is controversial, SCS can be beneficial for carefully classified patients.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Calidad de Vida
/
Rehabilitación
/
Médula Espinal
/
Factores de Riesgo
/
Resultado del Tratamiento
/
Dolor de la Región Lumbar
/
Síndrome de Fracaso de la Cirugía Espinal Lumbar
/
Dolor Crónico
/
Manejo del Dolor
/
Estimulación de la Médula Espinal
Tipo de estudio:
Estudio de etiología
/
Guía de Práctica Clínica
/
Evaluación Económica en Salud
/
Factores de riesgo
Límite:
Humanos
Idioma:
Inglés
Revista:
Asian Spine Journal
Año:
2016
Tipo del documento:
Artículo
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