Opioid Use Prior to Adult Spine Deformity Correction Surgery is Associated With Worse Pre- and Postoperative Back Pain and Prolonged Opioid Demands.
Juan P SardiJustin S SmithJeffrey L GumBrett RocosAnastasios CharalampidisLawrence G LenkeChristopher I ShaffreyKenneth Man-Chee CheungYong QiuYukihiro MatsuyamaFerran PelliseDavid W PollyJonathan N SembranoBenny T DahlMichael P KellyMarinus de KleuverMaarten SpruitAhmet AlanaySigurd H BervenStephen J Lewisnull nullPublished in: Global spine journal (2024)
In this study, almost one-third of surgical ASD patients were consuming opioids both pre- and postoperatively world-wide. There were marked international variations, with patients from Asia having a much lower usage rate, suggesting a cultural influence. Despite both opioid users and nonusers benefitting from surgery, preoperative opioid use was strongly associated with significantly more back pain at baseline that persisted at 2-year follow up, as well as persistent postoperative opioid needs.
Keyphrases
- end stage renal disease
- chronic pain
- pain management
- ejection fraction
- minimally invasive
- patients undergoing
- chronic kidney disease
- peritoneal dialysis
- autism spectrum disorder
- prognostic factors
- attention deficit hyperactivity disorder
- young adults
- patient reported outcomes
- intellectual disability
- percutaneous coronary intervention
- working memory