The Role of Spinal Cord Stimulation (SCS) in the Management of Failed Back Surgery Syndrome (FBSS) - a Comprehensive Literature Review
DOI:
https://doi.org/10.12775/JEHS.2024.69.55377Keywords
Spinal Cord Stimulation (SCS), Failed Back Surgery Syndrome (FBSS), Conventional Medical Management (CMM), neurostimulation, chronic pain, spine surgeryAbstract
Study Design
A literature review.
Objective
The assessment of the efficacy of Spinal Cord Stimulation (SCS) in treatment of Failed Back Surgery Syndrome (FBSS) in terms of chronic pain management, reducing the use of pain medication, improvement of the overall quality of life and cost-effectiveness of the method in comparison to conventional medical management (CMM) and spinal revision surgery.
Methods
A review of the clinical data from prospective studies, clinical trials and systematic reviews was conducted to provide on overview of the effectiveness of Spinal Cord Stimulation (SCS) in treatment of Failed Back Surgery Syndrome (FBSS).
Results and Conclusion
Numerous studies have proven the efficacy and safety of SCS in this patient population, in terms of managing neuropathic pain, reduction of pain medication use, quality of life improvement and cost-effectiveness as compared to CMM and re-operation. Careful preoperative patient selection and psychological screening is required in order to ensures optimal treatment results.
References
Sebaaly, A., Lahoud, M., Rizkallah, M., Kreichati, G., & Kharrat, K. (2018). Etiology, Evaluation, and Treatment of Failed Back Surgery Syndrome. Asian Spine Journal, 12, 574 - 585. https://doi.org/10.4184/asj.2018.12.3.574.
Chan, C., & Peng, P. (2011). Failed back surgery syndrome.. Pain medicine, 12 4, 577-606 . https://doi.org/10.1111/j.1526-4637.2011.01089.x.
Long, D. (1991). Failed back surgery syndrome.. Neurosurgery clinics of North America, 2 4, 899-919 . https://doi.org/10.1016/S1042-3680(18)30709-5.
Rock, A., Truong, H., Park, Y., & Pilitsis, J. (2019). Spinal Cord Stimulation.. Neurosurgery clinics of North America. https://doi.org/10.1016/j.nec.2018.12.003.
Fritsch EW, Heisel J, Rupp S (March 1996). "The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments". Spine. 21 (5): 626–633. doi:10.1097/00007632-199603010-00017
Oakley, J., & Prager, J. (2002). Spinal Cord Stimulation: Mechanisms of Action. Spine, 27, 2574-2583. https://doi.org/10.1097/00007632-200211150-00034.
Frey, M., Manchikanti, L., Benyamin, R., Schultz, D., Smith, H., & Cohen, S. (2009). Spinal cord stimulation for patients with failed back surgery syndrome: a systematic review.. Pain physician, 12 2, 379-97.
Kumar, K., Taylor, R., Jacques, L., Eldabe, S., Meglio, M., Molet, J., Thomson, S., O’Callaghan, J., Eisenberg, E., Milbouw, G., Buchser, E., Fortini, G., Richardson, J., & North, R. (2007). Spinal cord stimulation versus conventional medical management for neuropathic pain: A multicentre randomised controlled trial in patients with failed back surgery syndrome. Pain, 132, 179-188. https://doi.org/10.1016/j.pain.2007.07.028.
Goudman, L., Smedt, A., Eldabe, S., Rigoard, P., Linderoth, B., Jaeger, M., & Moens, M. (2020). High-dose spinal cord stimulation for patients with failed back surgery syndrome: a multicenter effectiveness and prediction study.. Pain. https://doi.org/10.1097/j.pain.0000000000002035.
Bała, M., Riemsma, R., Nixon, J., & Kleijnen, J. (2008). Systematic Review of the (Cost-)effectiveness of Spinal Cord Stimulation for People With Failed Back Surgery Syndrome. The Clinical Journal of Pain, 24, 741-756. https://doi.org/10.1097/AJP.0b013e318179032a.
Braz, J., Solorzano, C., Wang, X., & Basbaum, A. (2014). Transmitting Pain and Itch Messages: A Contemporary View of the Spinal Cord Circuits that Generate Gate Control. Neuron, 82, 522-536. https://doi.org/10.1016/j.neuron.2014.01.018.
Treede, R. (2016). Gain control mechanisms in the nociceptive system. PAIN, 157, 1199–1204. https://doi.org/10.1097/j.pain.0000000000000499.
Carlton, S., Zhou, S., & Coggeshall, R. (1998). Evidence for the interaction of glutamate and NK1 receptors in the periphery. Brain Research, 790, 160-169. https://doi.org/10.1016/S0006-8993(97)01471-6.
Vallejo, R., Bradley, K., & Kapural, L. (2017). Spinal Cord Stimulation in Chronic Pain: Mode of Action. SPINE, 42, S53–S60. https://doi.org/10.1097/BRS.0000000000002179.
Zhang, T., Janik, J., Peters, R., Chen, G., Ji, R., & Grill, W. (2015). Spinal sensory projection neuron responses to spinal cord stimulation are mediated by circuits beyond gate control.. Journal of neurophysiology, 114 1, 284-300 . https://doi.org/10.1152/jn.00147.2015.
Rigoard, P., Basu, S., Desai, M., Taylor, R., Annemans, L., Tan, Y., Johnson, M., Abeele, C., & North, R. (2019). Multicolumn spinal cord stimulation for predominant back pain in failed back surgery syndrome patients: a multicenter randomized controlled trial. Pain, 160, 1410 - 1420. https://doi.org/10.1097/j.pain.0000000000001510.
Kapural, L., Peterson, E., Provenzano, D., & Staats, P. (2017). Clinical Evidence for Spinal Cord Stimulation for Failed Back Surgery Syndrome (FBSS): Systematic Review. SPINE, 42, S61–S66. https://doi.org/10.1097/BRS.0000000000002213. 9.
Kumar K, North R, Taylor R, et al. Spinal cord stimulation vs. conventional medical management: a prospective, randomized, controlled, multicenter study of patients with failed back surgery syndrome (PROCESS study). Neuromodulation 2005; 8:213–218.
Kapural, L. (2016). Comparison of 10-kHz High-Frequency and Traditional Low-Frequency Spinal Cord Stimulation for the Treatment of Chronic Back and Leg Pain: 24-Month Results From a Multicenter, Randomized, Controlled Pivotal Trial. Neurosurgery, 79, 667 - 677. https://doi.org/10.1227/NEU.0000000000001418.
North RB, Kidd DH, Farrokhi F, et al. Spinal cord stimulation versus repeated lumbosacral spine surgery for chronic pain: a randomised, controlled trial. Neurosurgery 2005; 56:98–106.
Daniel, M., Long, C., Hutcherson, W., & Hunter, S. (1986). Neurology Psychological factors in outcome of electrode implantation for chronic pain Neurosurgery, 7 (1985) 773–777. Pain, 26. https://doi.org/10.1016/0304-3959(86)90182-X.
Taylor, R., Ryan, J., O'donnell, R., Eldabe, S., Kumar, K., & North, R. (2010). The Cost-effectiveness of Spinal Cord Stimulation in the Treatment of Failed Back Surgery Syndrome. The Clinical Journal of Pain, 26, 463-469. https://doi.org/10.1097/AJP.0b013e3181daccec.
Long D. Erickson D. Campbell .J North R: Electrical stimulation of the spinal cord and peripheral nerves for pain control. Appl Neurophysiol 44:207-217. 1981.
Atkinson, L., Sundaraj, S., Brooker, C., O’Callaghan, J., Teddy, P., Salmon, J., Semple, T., & Majedi, P. (2011). Recommendations for patient selection in spinal cord stimulation. Journal of Clinical Neuroscience, 18, 1295-1302. https://doi.org/10.1016/j.jocn.2011.02.025.
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Copyright (c) 2024 Paweł Połujański, Joanna Kowal, Piotr Cyran, Anna Jaroszyńska, Filip Jaroszyński, Jan Paleczny, Robert Parobczak, Joanna Winciorek, Adrianna Wiśniewska
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