Clinical Evidence for Spinal Cord Stimulation for Failed Back Surgery Syndrome (FBSS): Systematic Review.
Spine (Phila Pa 1976)
; 42 Suppl 14: S61-S66, 2017 Jul 15.
Article
in En
| MEDLINE
| ID: mdl-28441313
ABSTRACT
STUDY DESIGN:
A systematic review.OBJECTIVE:
A systematic literature review of the clinical data from prospective studies was undertaken to assess the efficacy of spinal cord stimulation (SCS) in the treatment of failed back surgery syndrome (FBSS) in adults. SUMMARY OF BACKGROUND DATA For patients with unrelenting back pain due to mechanical instability of the spine, degenerative disc disease, spinal injury, or deformity, spinal surgery is a well-accepted treatment option; however, even after surgical intervention, many patients continue to experience chronic back pain that can be notoriously difficult to treat. Clinical evidence suggests that for patients with FBSS, repeated surgery will not likely offer relief. Additionally, evidence suggests long-term use of opioid pain medications is not effective in this population, likely presents additional complications, and requires strict management.METHODS:
A systematic literature review was performed using several bibliographic databases, prospective studies in adults using SCS for FBSS were included. RESULTS ANDCONCLUSION:
SCS has been shown to be a safe and efficacious treatment for this patient population. Recent technological developments in SCS offer even greater pain relief to patients' refractory to other treatment options, allowing patients to regain functionality and improve their quality of life with significant reductions in pain. LEVEL OF EVIDENCE N/A.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Back Pain
/
Evidence-Based Medicine
/
Failed Back Surgery Syndrome
/
Spinal Cord Stimulation
Type of study:
Observational_studies
/
Systematic_reviews
Aspects:
Patient_preference
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Spine (Phila Pa 1976)
Year:
2017
Document type:
Article
Affiliation country:
New Caledonia