Evidence map›Paper›PMID 35713719›Full record

ArticleActa neurochirurgica2022

Incidence and risk factors of spinal cord stimulation for persistent or recurrent pain after lumbar spine surgery: a population-based study.

Jukka Huttunen, Mikael von Und Zu Fraunberg, Tiina-Mari Ikäheimo, Henna-Kaisa Jyrkkänen, Mette Nissen, Ville Leinonen, Jyrki Salmenkivi, Antti Malmivaara, Joonas Sirola, Reijo Sund

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In one paragraph

Article in Acta neurochirurgica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Jukka HuttunenInstitute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland. jukka.huttunen@kuh.fi.ORCID 0000-0001-9440-7917
Mikael von Und Zu FraunbergDepartment of Neurosurgery, Oulu University Hospital, Oulu, Finland.
Tiina-Mari IkäheimoInstitute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Henna-Kaisa JyrkkänenInstitute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Mette NissenInstitute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Ville LeinonenInstitute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Jyrki SalmenkiviDepartment of Orthopedics, Helsinki University Hospital, Helsinki, Finland.
Antti MalmivaaraHealth Economics and Equity in Health Care Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
Joonas SirolaInstitute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Reijo SundInstitute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
University of Eastern Finland · FIFinnish Institute for Health and Welfare · FIHelsinki University Hospital · FIOulu University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to elucidate the incidence of and independent risk factors for spinal cord stimulator implantations for patients who underwent lumbar spine surgery.

methodsThe PERFormance, Effectiveness, and Cost of Treatment (PERFECT) episodes database, which was established for selected diseases and procedures in Finland, includes all patients who underwent lumbar spine surgery for degenerative spine conditions or spinal cord stimulation (SCS) in Finland from 1986 to 2018. The data on age, sex, hospital diagnoses, surgical procedures, and causes of death were imported from the Finnish national registers into the PERFECT database.

resultsBetween 1986 and 2018, 157,824 patients had their first lumbar spine procedure and for 1769 (1.1%) of them, a subsequent SCS procedure was observed during the follow-up. The cumulative incidence of SCS for persistent or recurrent pain after lumbar disk herniation, spinal stenosis, degenerative disk disease, and spondylolysis and spondylolisthesis surgery at 15 years was 1.2%, 1.0%, 2.7%, and 2.6% respectively. At 15 years, the cumulative incidence of SCS for persistent or recurrent pain after lumbar spine surgery after five or more lumbar spinal operations was 11.9%.

conclusionRepeated surgery was the most prominent significant risk factor for SCS for persistent or recurrent pain after lumbar spine surgery. The risk of SCS for persistent or recurrent pain after lumbar spine surgery increases significantly along with the number of lumbar spine procedures. When considering repeated lumbar spine surgery, careful evaluation of treatment options should take place to ensure good patient outcomes.

Indexed as

Spinal Cord StimulationSpinal StenosisSpondylolisthesisHumansIncidenceLumbar VertebraePainRisk FactorsDegenerative disk disease, Spondylolysis and spondylolisthesisLumbar disk herniationPersistent spinal pain syndromeSpinal cord stimulationSpinal stenosis

Identifiers

PMID35713719
PMCPMC9519649
OpenAlexW4283071096

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.