Pain after lumbar surgery: image and reflexes

• Autor(a) principal: Gaspar, Ana Teresa; Médica interna de MFR do Serviço de MFR do Hospital de Braga
• Data de Publicação: 2013
• Outros Autores: Morgado, Sandra; Médica interna de MFR do Serviço de MFR do Hospital de Braga, Antunes, Filipe; Assistente Hospitalar de Medicina Física e de Reabilitação – Serviço de Medicina Física e de Reabilitação - Hospital de Braga – Braga – Portugal
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.25759/spmfr.19

Aim: To characterize one population with persistent or recurrent pain after lumbar spinal surgery and evaluate the functional impact of this pathological condition.Methods: The sample consisted of patients with a history of back surgery that kept the pain level and whom had performed imaging examination of the lumbar spine after surgery. The authors made the demographic characterization of the population and the characterization of pain using the DN-4 survey. It was considered the findings in neurological examination and the results of imaging studies. The assessment of quality of life was objectified using the SF-36 survey.Results: The study included 28 patients, mostly female and working age. Most patients had neuropathic pain, changes in neurological examination and for 27 of the 28 patients were found in imaging compression of neurvous structures, mainly by recurrence of initial pathology and scarring. The results obtained in the survey SF- 36 clearly showed the negative impact on patients quality of life.Conclusion: In this sample, most patients presents with documented anatomical lesion that may justify pain complaints. The negative impact on quality of life makes this clinical picture a true challenge for Physical Medicine and Rehabilitation.Keywords: Pain; Lumbar spinal surgery; Quality of Life