ReviewCureus2023
Prevalence of Chronic Pain After Spinal Surgery: A Systematic Review and Meta-Analysis.
Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Prevalence of and recommendation for measuring chronic postsurgical pain in children: an updated systematic review and meta-analysis.Regional anesthesia and pain medicine · 2025Pooled it
- Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review.Journal of rehabilitation medicine · 2025Pooled it
- Continuity of care in lumbar disc herniation: a systematic review and meta-analysis providing a deeper look into postoperative efficacy.Frontiers in medicine · 2025Pooled it
- Effectiveness of ultrasonography-guided periforaminal oxygen-ozone therapy in chronic low back pain.Turkish journal of medical sciences · 2025Trial
- Effect of Modified Assisted Reduction and Internal Fixation System on Chronic Pain and Long-term Prognosis After Isthmic Spondylolisthesis Surgery: A Randomized Controlled Study.International journal of spine surgery · 2026Article
- Purchases of analgesics before and after spine surgery - register based study of 152,829 Finnish patients with 15-year follow-up.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Review
- Surgical Trauma Gradient as an Independent Predictor of Postoperative Pain, Functional Recovery, and Complication Risk After Spine Surgery: A 2 × 2 Invasiveness Model with Psychosocial Interaction.Journal of clinical medicine · 2026Article
- Article
- Prevalence of Type-D Personality and Its Association with Pain, Disability, and Psychological Distress in a University Spine Outpatient Clinic: A Cross-Sectional Study.Journal of clinical medicine · 2026Article
- Electrical Evoked Potentials After Perioperative Pain Neuroscience Education or Back School Education: A Subgroup Analysis of a Randomized Controlled Trial.Journal of clinical medicine · 2026Article
- Association of glucose metabolism status and paraspinal muscle degeneration with chronic pain after endoscopic lumbar decompression: a multicentre retrospective study.Frontiers in endocrinology · 2026Article
- Efficacy and Safety of Ultrasound-Guided Acupotomy for Chronic Spinal Musculoskeletal Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.Journal of pain research · 2026Review
- Prospective Preference Assessment of Potential Participants in the Perioperative Rectal Methadone in Spine Surgery (PROMISE) Trial.Canadian journal of pain = Revue canadienne de la douleur · 2026Article
- Comparison of analgesic efficacy of ropivacaine versus ropivacaine plus dexmedetomidine in modified thoracolumbar interfascial plane block in patients undergoing lumbar disc surgeries: A randomised controlled trial.Indian journal of anaesthesia · 2026Article
- Psychometric and Molecular Profiling to Predict Outcomes of Spinal Cord Stimulation for Chronic Pain: A Pilot Study.Journal of pain research · 2026Article
- Type-D Personality as a Predictor of Postoperative Pain, Recovery, and Clinical Outcomes After Spine Surgery: Implications for Chronic Pain Management.Healthcare (Basel, Switzerland) · 2025Article
- [Patients benefit from information : Pain neuroscience education in an outpatient setting].Orthopadie (Heidelberg, Germany) · 2025Article
- Epidural Steroid Injections for Lumbar Disc Herniation and Lumbar Degenerative Disc Disease.Journal of orthopaedic case reports · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Degenerative disc disease and low back pain are common challenges that persist even after a discectomy. However, characterizations and quantifications of these illnesses from the patients' perspective are insufficient. We aimed to perform a systematic review of the literature and meta-analysis to determine the frequency of chronic pain after spinal surgery. We searched MEDLINE (PubMed), Google Scholar, and the Saudi Digital Library to retrieve research articles describing the frequency of persistent back pain, reoccurring disc herniation, and undergoing another operation following primary lumbar discectomy. We excluded articles that did not disclose the proportion of patients who experienced ongoing back or leg pain for over six months after the operation. We included 16 studies evaluating 85,643 patients. The pooled prevalence of persistent pain was 14.97% (95% confidence interval: 12.38-17.76). With all advancements in technology and operation techniques, many patients (14.97%) still have failed back surgery syndrome. Appropriate preoperative communication and multidisciplinary and coordinated treatment strategies yielded the best results.
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Registered trials
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.