To the content
3 . 2022

Adequate pain control and rehabilitation of patients after surgical treatment of degenerative-dystrophic diseases of the spine

Abstract

Persistent pain significantly limits the possibilities of postoperative rehabilitation of patients undergoing spinal surgery. In this article, the authors consider the problem of pain control and active rehabilitation at all stages of surgical treatment.

Keywords:postoperative pain; postoperative pain relief; postoperative rehabilitation

Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Medvedeva L.A., Zagorulko O.I., Churyukanov M.V. Adequate pain control and rehabilitation of patients after surgical treatment of degenerative-dystrophic diseases of the spine. Clinical and Experimental Surgery. Petrovsky Journal. 2022; 10 (3): 144–9. DOI: https://doi.org/10.33029/2308-1198-2022-10-3-144-149  (in Russian)

References

1.     Boni L., Benevento A., Cantore F., Dionigi G., Rovera F., Dionigi R. Technological advances in minimally invasive surgery. Expert Rev Med Devices. 2006; 3 (2): 147–53. DOI: https://doi.org/10.1586/17434440.3.2.147  

2.     Smith Z.A., Fessler R.G. Paradigm changes in spine surgery: evolution of minimally invasive techniques. Nat Rev Neurol. 2012; 8 (8): 443–50. DOI: https://doi.org/10.1038/nrneurol.2012.110  

3.     Sivasubramaniam V., Patel H., Ozdemir B. Trends in hospital admissions and surgical procedures for degenerative lumbar spine disease in England: a 15-year time series study. BMJ. 2015; 5: e009011. DOI: https://doi.org/10.1136/bmjopen-2015-009011  

4.     Yoshihara H., Yoneoka D. National trends in the surgical treatment for lumbar degenerative disc disease: United States, 2000 to 2009. Spine J. 2015; 15 (2): 265–71. DOI: https://doi.org/10.1016/j.spinee.2014.09.026  

5.     Yashkov A.V., Litvinov S.A., Miroshnichenko A.P., Zatsepina O.S. Federal clinical guidelines. Postoperative management of patients with spondylolisthesis. Moscow, 2015. URL: https://rehabrus.ru/klinicheskie-rekomendaczii.html  (date of access August 02, 2019)

6.     Medvedeva L.A., Zagorul’ko O.I., Churyukanov M.V. Operated spine syndrome: the state of the problem and the possibility of pain relief. Clinical and Experimental Surgery. Petrovsky Journal. 2021; 9 (1): 126–32. DOI: https://doi.org/10.33029/2308-1198-2021-9-1-126-132  (in Russian)

7.     Katz J., Seltzer Z. Transition from acute to chronic postsurgical pain: risk factors and protective factors. Expert Rev Neurother. 2009; 9: 723–44. DOI: https://doi.org/10.1586/ern.09.20  

8.     Hanley M.A., Jensen M.P., Smith D.G., et al. Preamputation pain and acute pain predict chronic pain after lower extremity amputation. J Pain. 2007; 8: 102–9. DOI: https://doi.org/10.1016/j.jpain.2006.06.004  

9.     Laufenberg-Feldmann R., Kappis B., Mauff S., Schmidtmann I., Ferner M. Prevalence of pain 6 months after surgery: a prospective observational study. BMC Anesthesiol. 2016; 16 (1): 91. DOI: https://doi.org/10.1186/s12871-016- 0261-7  

10. Moiniche S., Kehlet H., Dahl J.B. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief: the role of timing of analgesia. Anesthesiology 2002; 96: 725–41. DOI: https://doi.org/10.1097/00000542-200203000-00032  

11. Nir R.R., Nahman-Averbuch H., Moont R., Sprecher E., Yarnitsky D. Preoperative preemptive drug administration for acute postoperative pain: a systematic review and meta-analysis. Eur J Pain. 2016; 20: 1025–43. DOI: https://doi.org/10.1002/ejp.842  

12. Bajwa S.S., Haldar R. Pain management following spinal surgeries: an appraisal of the available options. J Craniovertebr Junction Spine. 2015; 6 (3): 105–10. DOI: https://doi.org/10.4103/0974-8237.161589  

13. Puvanesarajah V., Liauw J.A., Lo S.-F., Lina I.A., Witham T.F., Gottschalk A. Analgesic therapy for major spine surgery. Neurosurg Rev. 2015; 38 (3): 407–19. DOI: https://doi.org/10.1007/s10143-015-0605-7  

14. Fujita N., Tobe M., Tsukamoto N., Saito S., Obata H. A randomized placebo-controlled study of preoperative pregabalin for postoperative analgesia in patients with spinal surgery. J Clin Anesth. 2016; 31: 149–53. DOI: https://doi.org/10.1016/j.jclinane.2016.01.010  

15. Jiang H.L., Huang S., Song J., Wang X., Cao Z.S. Preoperative use of pregabalin for acute pain in spine surgery. Medicine (Baltimore). 2017; 96 (11): 1–9.

16. Canos A., Cort L., Fernández Y., Rovira V., Pallarés J., Barberá M., et al. Preventive analgesia with pregabalin in neuropathic pain from «failed back surgery syndrome»: assessment of sleep quality and disability. Pain Med. 2016; 17 (2): 344–52. DOI: https://doi.org/10.1111/pme.12895  

17. Gianesello L., Pavoni V., Barboni E., Galeotti I., Nella A. Perioperative pregabalin for postoperative pain control and quality of life after major spinal surgery. J Neurosurg Anesthesiol. 2012; 24 (2): 121–6. DOI: https://doi.org/10.1097/ANA.0b013e31823a885b  

18. Zhang Z., Xu H., Zhang Y., Yanjie W., Tian Y., Zhihui H., et al. Nonsteroidal anti-inflammatory drugs for postoperative pain control after lumbar spine surgery: a meta-analysis of randomized controlled trials. J Clin Anesth. 2017; 43: 84–9. DOI: https://doi.org/10.1016/j.jclinane.2017.08.030  

19. Jirarattanaphochai K., Jung S. Nonsteroidal antiinflammatory drugs for postoperative pain management after lumbar spine surgery: a meta-analysis of randomized controlled trials. J Neurosurg Spine. 2008; 9: 22–3. DOI: https://doi.org/10.3171/SPI/2008/9/7/022  

20. Waelkens P., Alsabbagh E., Sauter A., Joshi G.P., Beloeil H.; PROSPECT Working Group of the European Society of Regional Anaesthesia and Pain therapy (ESRA). Pain management after complex spine surgery: a systematic review and procedure-specific postoperative pain management recommendations. Eur J Anaesthesiol. 2021; 38 (9): 985–94. DOI: https://doi.org/10.1097/EJA.0000000000001448  

21. Marbet G.A., Yasikoff Strub M.L., Macciocchi A., Tsa- kiris D.A. The effect of nimesulide versus placebo on hemostasis in healthy volunteers. Eur J Clin Pharmacol. 1998; 54: 383–7. DOI: https://doi.org/10.1007/s002280050479  

22. Bradbury F. How important is the role of the physician in the correct use of a drug? An observational cohort study in general practice. Int J Clin Pract. 2004; 144 (suppl): 27–32. DOI: https://doi.org/10.1111/j.1742-1241.2004.027_e.x  

23. Shavlovskaya O.A. Therapeutic spectrum of the drug Nise (Nimesulide). Russkiy meditsinskiy zhurnal [Russian Medical Journal]. 2013; 21 (10): 512–8. (in Russian)

CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)
Вскрытие
Medicine today

Масштабное событие в области дерматовенерологии и косметологии - II конференция InteDeCo 2022 "Интегративная дерматовенерология и косметология. Новые стандарты взаимодействия" - состоится 16-17 декабря 2022 года. Программа мероприятия пройдет на современной...

С 7 по 8 декабря 2022 года на сайте www.online-romgconference.ru состоится Научно-практическая онлайн-конференция РОМГ "Новые технологии в диагностике и лечении наследственных болезней" Одно из важнейших событий для профессионального сообщества медицинских генетиков...

I Международная школа "Диагностика и лечение сердечно-сосудистых заболеваний: настоящее и будущее" 15 декабря 2022 года, г. Санкт-Петербург Сердечно-сосудистые заболевания уверенно занимают лидирующие позиции среди причин, ежегодно уносящих миллионы человеческих жизней....


Journals of «GEOTAR-Media»