Relationship of psychoalgological status and results of neurosurgical treatment of patients with discogenic radiculopathy

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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.

в: Grekov's Bulletin of Surgery, Том 179, № 3, 2020, стр. 13-18.

Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование

BibTeX

@article{51ffe879e3474797922aaef682c2772e,

title = "Relationship of psychoalgological status and results of neurosurgical treatment of patients with discogenic radiculopathy",

abstract = "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.",

keywords = "Anxiety, Chronic pain, Depression, Discogenic sciatica, Failed back surgery syndrome, Quality of life",

author = "Leonov, {Valentin I.} and Kritskaya, {Irina O.} and Svistov, {Dmitriy V.} and Litvinenko, {Elena V.} and Sergeeva, {Tatyana V.} and Flud, {Viktor V.} and Kravtsov, {Maxim N.} and Mirzametov, {Saidmirze D.} and Alexeyeva, {Nina P.} and Shcherbuk, {Alexandr Yu} and Shcherbuk, {Yuriy A.}",

year = "2020",

doi = "10.24884/0042-4625-2020-179-3-13-18",

language = "English",

volume = "179",

pages = "13--18",

journal = "ВЕСТНИК ХИРУРГИИ ИМ. И.И. ГРЕКОВА",

issn = "0042-4625",

publisher = "Aesculapius",

number = "3",

}

RIS

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.

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