Journal of Medical & Surgical Pathology
Open Access
ISSN: 2472-4971
ISSN: 2472-4971
Jean Marie Vianney Hope
Rwanda Military Hospital, Rwanda
Posters & Accepted Abstracts: J Med Surg Pathol
Spinal surgery for patients with degenerative lumbar spine disorder has a high success rate, but some patients experience post-operative back and leg pain (POBLP). Some of these patients are diagnosed to have Failed Back Surgery Syndrome (FBSS). Spinal cord stimulation (SCS) has been documented to be an effective treatment for FBSS. The success rate of SCS is higher in patients who are treated within one year after their last spine surgery. This retrospective analysis of hospital records of patients receiving SCS for failed back surgery syndrome (FBSS) aims at evaluating the current trajectory FBSS patients follow and to record the time delay between their last spine surgery and SCS trial.
The records of patients from our hospital who received SCS for FBSS between January 01, 2011 and October 30, 2018 were retrieved. The time between last spine surgery and SCS trial was calculated and the number of events (outpatient visits, diagnostic imaging procedures and interventional pain therapy) in this time lapse was counted. The mean time between the last spine surgeries till trial SCS is 41 months (Standard Deviation 18 months). In this time period, the patients had a mean of 4.5 out-patient visits, 11 diagnostic imaging procedures and 3 interventional pain therapies. In patients suffering from FBSS, the longtime delay between last spine surgery and trial SCS, and the high number of events patients are exposed to during this period, indicate potential for pathway improvement.