title: Effects of Therapy in Patients Suffering from Chronic Back Pain Treated with Spinal Cord Stimulation.
abstract: Pain in the lumbosacral part of the spine in the course of degenerative disease is the most common cause of physical activity limitation in adults. Treatment includes pharmacotherapy, physiotherapy, psychotherapy, health promotion, and sometimes surgery. Surgical treatment is not always successful, and the various clinical and psychosomatic symptoms that result from surgical treatment failure are known as failed back surgery syndrome. For some patients with this condition, spinal cord stimulation can provide relief. The aim of the work was to define subjective and objective spinal cord stimulation effects by assessing chosen disability and physical activity limitation ratios. Pain intensity, level of disability, and presence of neurological symptoms were assessed. The examination was performed twice: before the stimulator implantation and at least 6 months postimplantation. The study was conducted at the Department of Neurosurgery and Paediatric Neurosurgery in Lublin. Thirty-six patients suffering from failed back surgery syndrome were recruited for this study. The Visual Analog Scale, modified Laitinen's pain questionnaire, and Oswestry Disability Index were used in this work. The study showed that spinal cord stimulation was effective in treating spinal and lower limb pain in 64% of patients, similar to results obtained in other departments. Although back pain and neuropathic pain radiating to the lower limbs decreased, moderate physical activity impairment was still observed according to the Oswestry Disability Index scale. The decrease in neuropathic pain radiating to the lower limbs had the most significant influence on reducing physical activity impairment.
authors.affiliation: Department of Neurosurgery and Peadiatric Neurosurgery, Medical University of Lublin, Lublin, Poland. Electronic address: mosiewiczanna@gmail.com.
authors.forename: Anna
authors.initials: A
authors.lastname: Mosiewicz
authors.affiliation: Department of Tourism and Recreation, University of Life Science in Lublin, Lublin, Poland.
authors.forename: Elżbieta
authors.initials: E
authors.lastname: Rutkowska
authors.affiliation: Department of Rehabilitation, Physiotherapy and Balneotherapy, Medical University of Lublin, Lublin, Poland.
authors.forename: Monika
authors.initials: M
authors.lastname: Matacz
authors.affiliation: Department of Neurosurgery and Peadiatric Neurosurgery, Students Medical Association, Medical University of Lublin, Lublin, Poland.
authors.forename: Barbara
authors.initials: B
authors.lastname: Mosiewicz
authors.affiliation: Department of Neurosurgery and Peadiatric Neurosurgery, Medical University of Lublin, Lublin, Poland.
authors.forename: Robert
authors.initials: R
authors.lastname: Kaczmarczyk
authors.affiliation: Department of Neurosurgery and Peadiatric Neurosurgery, Medical University of Lublin, Lublin, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Trojanowski
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D059350:Chronic Pain / Q000628:therapy*; D015331:Cohort Studies; D055111:Failed Back Surgery Syndrome / Q000628:therapy*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009437:Neuralgia / Q000628:therapy*; D010147:Pain Measurement; D062187:Spinal Cord Stimulation / Q000379:methods*; D016896:Treatment Outcome