Lässt sich eine "failed back surgery" verhindern?
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Lässt sich eine "failed back surgery" verhindern? Psychologische Risikofaktoren für postoperative Schmerzen nach Wirbelsäulenoperationen. / Klinger, R; Geiger, F; Schiltenwolf, M.
In: ORTHOPADE, Vol. 37, No. 10, 10.2008, p. 1000, 1002-6.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Lässt sich eine "failed back surgery" verhindern?
T2 - Psychologische Risikofaktoren für postoperative Schmerzen nach Wirbelsäulenoperationen
AU - Klinger, R
AU - Geiger, F
AU - Schiltenwolf, M
PY - 2008/10
Y1 - 2008/10
N2 - Aside from the surgical technique used, the development of peri- and postoperative pain and impairments in patients following intervertebral disk surgery is also determined to a crucial extent by psychological factors. Based on a systematic literature review, we checked whether evidence-based recommendations could be deduced on how to take into account psychological risk factors in back surgery in order to avoid postoperative complications, such as failed back surgery syndrome. The current state of research suggests three groups of risk factors: (1) negative psychological factors, (2) preexisting pain chronification, and (3) psychological disorders. In the case of elective intervertebral disk surgery, these factors should therefore be determined and identified preoperatively and taken into account in the indication for surgery. Multimodal treatments could conceivably prove to be more effective, or else psychological pain management therapy might be considered prior to surgery so as to avoid postoperative complications. If surgery is medically unavoidable despite existing risk factors, postoperative treatment should incorporate psychological pain management therapy at an early stage in the context of a multidisciplinary approach.
AB - Aside from the surgical technique used, the development of peri- and postoperative pain and impairments in patients following intervertebral disk surgery is also determined to a crucial extent by psychological factors. Based on a systematic literature review, we checked whether evidence-based recommendations could be deduced on how to take into account psychological risk factors in back surgery in order to avoid postoperative complications, such as failed back surgery syndrome. The current state of research suggests three groups of risk factors: (1) negative psychological factors, (2) preexisting pain chronification, and (3) psychological disorders. In the case of elective intervertebral disk surgery, these factors should therefore be determined and identified preoperatively and taken into account in the indication for surgery. Multimodal treatments could conceivably prove to be more effective, or else psychological pain management therapy might be considered prior to surgery so as to avoid postoperative complications. If surgery is medically unavoidable despite existing risk factors, postoperative treatment should incorporate psychological pain management therapy at an early stage in the context of a multidisciplinary approach.
KW - Combined Modality Therapy
KW - Evidence-Based Medicine
KW - Failed Back Surgery Syndrome
KW - Humans
KW - Intervertebral Disc Displacement
KW - Mental Disorders
KW - Pain, Postoperative
KW - Prognosis
KW - Retrospective Studies
KW - Risk Factors
KW - Spinal Fusion
KW - Spine
KW - Comparative Study
KW - English Abstract
KW - Journal Article
KW - Review
U2 - 10.1007/s00132-008-1339-9
DO - 10.1007/s00132-008-1339-9
M3 - SCORING: Review
C2 - 18806999
VL - 37
SP - 1000, 1002-6
JO - ORTHOPADE
JF - ORTHOPADE
SN - 0085-4530
IS - 10
ER -
