Schulz Friederike
Orthopädische Klinik, DIAKOVERE Annastift, Medizinischen Hochschule Hannover, Anna-von-Borries-Straße 1-7, 30625, Hannover, Deutschland.
Orthopadie (Heidelb). 2025 Jan;54(1):40-47. doi: 10.1007/s00132-024-04584-6. Epub 2024 Nov 29.
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.
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。