Alshammari Hotoon S, Alshammari Abdullah S, Alshammari Sulaiman A, Ahamed Shaik Shaffi
College of Medicine, King Saud University, Riyadh, SAU.
College of Medicine, AlMaarefa University, Riyadh, SAU.
Cureus. 2023 Jul 13;15(7):e41841. doi: 10.7759/cureus.41841. eCollection 2023 Jul.
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.
椎间盘退变疾病和下腰痛是常见的难题，即使在椎间盘切除术后依然存在。然而，从患者角度对这些疾病的特征描述和量化尚不充分。我们旨在对文献进行系统综述和荟萃分析，以确定脊柱手术后慢性疼痛的发生率。我们检索了MEDLINE（PubMed）、谷歌学术和沙特数字图书馆，以获取描述初次腰椎间盘切除术后持续性背痛、复发性椎间盘突出以及再次手术发生率的研究文章。我们排除了未披露术后持续背痛或腿痛超过六个月的患者比例的文章。我们纳入了16项评估85643例患者的研究。持续性疼痛的合并患病率为14.97%（95%置信区间：12.38 - 17.76）。尽管技术和手术技巧不断进步，但仍有许多患者（14.97%）出现腰椎手术失败综合征。适当的术前沟通以及多学科协作的治疗策略能取得最佳效果。
