6. Persistent spinal pain syndrome type 2

IF 2.5 3区医学 Q2 ANESTHESIOLOGY

Pain Practice Pub Date : 2024-04-14 DOI:10.1111/papr.13379

Johan van de Minkelis, Laurens Peene, Steven P. Cohen, Peter Staats, Adnan Al-Kaisy, Koen Van Boxem, Jan Willem Kallewaard, Jan Van Zundert

引用次数: 0

Abstract

Persistent Spinal Pain Syndrome (PSPS) refers to chronic axial pain and/or extremity pain. Two subtypes have been defined: PSPS-type 1 is chronic pain without previous spinal surgery and PSPS-type 2 is chronic pain, persisting after spine surgery, and is formerly known as Failed Back Surgery Syndrome (FBSS) or post-laminectomy syndrome. The etiology of PSPS-type 2 can be gleaned using elements from the patient history, physical examination, and additional medical imaging. Origins of persistent pain following spinal surgery may be categorized into an inappropriate procedure (eg a lumbar fusion at an incorrect level or for sacroiliac joint [SIJ] pain); technical failure (eg operation at non-affected levels, retained disk fragment, pseudoarthrosis), biomechanical sequelae of surgery (eg adjacent segment disease or SIJ pain after a fusion to the sacrum, muscle wasting, spinal instability); and complications (eg battered root syndrome, excessive epidural fibrosis, and arachnoiditis), or undetermined.

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6.2 型持续性脊柱疼痛综合征

持续性脊柱疼痛综合征（PSPS）是指慢性轴性疼痛和/或肢体疼痛。目前已定义了两种亚型：PSPS 1 型是指未接受过脊柱手术的慢性疼痛，PSPS 2 型是指脊柱手术后持续存在的慢性疼痛，以前被称为背部手术失败综合征（FBSS）或椎板切除术后综合征。PSPS 2 型的病因可通过患者的病史、体格检查和其他医学影像资料来了解。脊柱手术后持续疼痛的病因可分为不恰当的手术（如在不正确的水平进行腰椎融合术或骶髂关节疼痛）；技术失败（如在非受影响水平进行手术、椎间盘碎片残留、假关节）、手术生物力学后遗症（如邻近节段疾病或骶骨融合术后的骶髂关节疼痛、肌肉萎缩、脊柱不稳定）；以及并发症（如撞击根综合征、硬膜外过度纤维化和蛛网膜炎），或无法确定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Practice ANESTHESIOLOGY-CLINICAL NEUROLOGY

CiteScore

5.60

自引率

3.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Pain Practice, the official journal of the World Institute of Pain, publishes international multidisciplinary articles on pain and analgesia that provide its readership with up-to-date research, evaluation methods, and techniques for pain management. Special sections including the Consultant’s Corner, Images in Pain Practice, Case Studies from Mayo, Tutorials, and the Evidence-Based Medicine combine to give pain researchers, pain clinicians and pain fellows in training a systematic approach to continuing education in pain medicine. Prior to publication, all articles and reviews undergo peer review by at least two experts in the field.