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[持续性脊柱疼痛综合征:心理社会风险因素的考量]

[Persistent spinal pain syndrome : Consideration of psychosocial risk factors].

作者信息

Schulz Friederike

机构信息

Orthopädische Klinik, DIAKOVERE Annastift, Medizinischen Hochschule Hannover, Anna-von-Borries-Straße 1-7, 30625, Hannover, Deutschland.

出版信息

Orthopadie (Heidelb). 2025 Jan;54(1):40-47. doi: 10.1007/s00132-024-04584-6. Epub 2024 Nov 29.

DOI:10.1007/s00132-024-04584-6
PMID:39611978
Abstract

The introduction of the term persistent spinal pain syndrome (PSPS), replacing the term failed back surgery syndrome (FBSS) has significantly changed diagnostic and treatment approaches of PSPS. There are multiple risk factors that may contribute to the development of PSPS. Accurately identifying individual risk factors is, therefore, crucial for patient-centered treatment planning. This article mainly focuses on patient-related psychosocial risk factors. Possibilities of evaluating these risk factors prior to spinal surgery in order to prevent PSPS from developing, as well as treatment options for established PSPS will be discussed.

摘要

持续性脊柱疼痛综合征(PSPS)这一术语的引入取代了失败的脊柱手术综合征(FBSS),显著改变了PSPS的诊断和治疗方法。有多种风险因素可能导致PSPS的发生。因此,准确识别个体风险因素对于以患者为中心的治疗计划至关重要。本文主要关注与患者相关的社会心理风险因素。将讨论在脊柱手术前评估这些风险因素以预防PSPS发生的可能性,以及已确诊PSPS的治疗选择。

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本文引用的文献

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[Less surgery and lower cost due to back pain in a care program with an interdisciplinary second opinion procedure : A controlled non-randomized intervention study based on claims data].[在一项包含跨学科二次诊断程序的护理方案中,背痛导致手术减少及成本降低:一项基于索赔数据的对照非随机干预研究]
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True Differences in Poor Outcome Risks Between Revision and Primary Lumbar Spine Surgeries.翻修与初次腰椎手术在不良预后风险方面的真实差异。
HSS J. 2021 Jul;17(2):192-199. doi: 10.1177/1556331621995136. Epub 2021 Mar 4.
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Persistent Spinal Pain Syndrome: A Proposal for Failed Back Surgery Syndrome and ICD-11.
持续性脊柱疼痛综合征:失败性腰椎术后综合征和 ICD-11 的提案。
Pain Med. 2021 Apr 20;22(4):807-818. doi: 10.1093/pm/pnab015.
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Waddell (Nonorganic) Signs and Their Association With Interventional Treatment Outcomes for Low Back Pain.Waddell(非器质性)征及其与腰痛介入治疗结果的关系。
Anesth Analg. 2021 Mar 1;132(3):639-651. doi: 10.1213/ANE.0000000000005054.
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[Recommendations of the second update of the LONTS guidelines : Long-term opioid therapy for chronic noncancer pain].[《LONTS指南第二次更新建议:慢性非癌性疼痛的长期阿片类药物治疗》]
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Reply to Häuser et al.
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Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway.优化失败性腰椎手术后综合征的管理和结局:建立标准化多学科团队治疗路径的建议。
Pain Res Manag. 2019 Jul 8;2019:8184592. doi: 10.1155/2019/8184592. eCollection 2019.
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Pain Pathways and Nervous System Plasticity: Learning and Memory in Pain.疼痛通路与神经系统可塑性:疼痛中的学习与记忆
Pain Med. 2019 Dec 1;20(12):2421-2437. doi: 10.1093/pm/pnz017.
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Persistent Postsurgical Pain: Pathophysiology and Preventative Pharmacologic Considerations.持续性术后疼痛:病理生理学和预防性药物考虑。
Anesthesiology. 2018 Sep;129(3):590-607. doi: 10.1097/ALN.0000000000002238.
10
Prevalence, characteristics, and burden of failed back surgery syndrome: the influence of various residual symptoms on patient satisfaction and quality of life as assessed by a nationwide Internet survey in Japan.腰椎手术失败综合征的患病率、特征及负担:日本一项全国性网络调查评估各种残留症状对患者满意度和生活质量的影响
J Pain Res. 2017 Apr 6;10:811-823. doi: 10.2147/JPR.S129295. eCollection 2017.