Research output: Contribution to journal › Article › peer-review
Relationship of psychoalgological status and results of neurosurgical treatment of patients with discogenic radiculopathy. / Leonov, Valentin I.; Kritskaya, Irina O.; Svistov, Dmitriy V.; Litvinenko, Elena V.; Sergeeva, Tatyana V.; Flud, Viktor V.; Kravtsov, Maxim N.; Mirzametov, Saidmirze D.; Alexeyeva, Nina P.; Shcherbuk, Alexandr Yu; Shcherbuk, Yuriy A.
In: Grekov's Bulletin of Surgery, Vol. 179, No. 3, 2020, p. 13-18.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Relationship of psychoalgological status and results of neurosurgical treatment of patients with discogenic radiculopathy
AU - Leonov, Valentin I.
AU - Kritskaya, Irina O.
AU - Svistov, Dmitriy V.
AU - Litvinenko, Elena V.
AU - Sergeeva, Tatyana V.
AU - Flud, Viktor V.
AU - Kravtsov, Maxim N.
AU - Mirzametov, Saidmirze D.
AU - Alexeyeva, Nina P.
AU - Shcherbuk, Alexandr Yu
AU - Shcherbuk, Yuriy A.
N1 - Publisher Copyright: © 2020 Grekov's Bulletin of Surgery. All rights reserved. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020
Y1 - 2020
N2 - The OBJECTIVE was to improve the results of surgical treatment of patients with discogenic radiculopathy by preoperative neuropsychological examination of patients with an increased risk of unsatisfactory outcome of the operation. METHODS AND MATERIALS. Neuropsychological status of 77 patients with discogenic radiculopathy in the preoperative period was studied. For this purpose, we assessed the intensity of pain, levels of personal and situational anxiety and the presence and severity of depression. The obtained data were compared with postoperative results of quality of life assessment for the main parameters, which include the level of pain and adaptation to daily activities. RESULTS. Data from neuropsychological tests were revealed, the presence of which in patients with discogenic pain syndrome suggests the risk of an unsatisfactory assessment of the operation performed by the patient. According to the long-Term results of neurosurgical treatment, patients were divided into three groups: 1 - with a good result; 2 - patients with a number of preserved complaints, who rated the result of the operation as satisfactory; 3 - unsatisfactory outcome. In patients with unsatisfactory results of surgical treatment of discogenic radiculopathies with pain syndrome, patterns of psychological indices were found that were significantly associated with the outcome of treatment. CONCLUSION. Conducting a neuropsychological examination prior to surgery with the identification of predictors of chronic discogenic pain and patient dissatisfaction with the results of treatment can influence the surgical tactics and optimize the process of further treatment.
AB - The OBJECTIVE was to improve the results of surgical treatment of patients with discogenic radiculopathy by preoperative neuropsychological examination of patients with an increased risk of unsatisfactory outcome of the operation. METHODS AND MATERIALS. Neuropsychological status of 77 patients with discogenic radiculopathy in the preoperative period was studied. For this purpose, we assessed the intensity of pain, levels of personal and situational anxiety and the presence and severity of depression. The obtained data were compared with postoperative results of quality of life assessment for the main parameters, which include the level of pain and adaptation to daily activities. RESULTS. Data from neuropsychological tests were revealed, the presence of which in patients with discogenic pain syndrome suggests the risk of an unsatisfactory assessment of the operation performed by the patient. According to the long-Term results of neurosurgical treatment, patients were divided into three groups: 1 - with a good result; 2 - patients with a number of preserved complaints, who rated the result of the operation as satisfactory; 3 - unsatisfactory outcome. In patients with unsatisfactory results of surgical treatment of discogenic radiculopathies with pain syndrome, patterns of psychological indices were found that were significantly associated with the outcome of treatment. CONCLUSION. Conducting a neuropsychological examination prior to surgery with the identification of predictors of chronic discogenic pain and patient dissatisfaction with the results of treatment can influence the surgical tactics and optimize the process of further treatment.
KW - Anxiety
KW - Chronic pain
KW - Depression
KW - Discogenic sciatica
KW - Failed back surgery syndrome
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85092058990&partnerID=8YFLogxK
U2 - 10.24884/0042-4625-2020-179-3-13-18
DO - 10.24884/0042-4625-2020-179-3-13-18
M3 - Article
AN - SCOPUS:85092058990
VL - 179
SP - 13
EP - 18
JO - ВЕСТНИК ХИРУРГИИ ИМ. И.И. ГРЕКОВА
JF - ВЕСТНИК ХИРУРГИИ ИМ. И.И. ГРЕКОВА
SN - 0042-4625
IS - 3
ER -
ID: 71600362