{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T19:07:25Z","timestamp":1780427245403,"version":"3.54.1"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T00:00:00Z","timestamp":1695772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Failed back surgery syndrome (FBSS) is a constellation of conditions occurring after spine surgeries, characterized by the presence of persistent or recurring low back pain that has a significant impact on patients' quality of life. Neuromodulation in the form of Spinal Cord Stimulation (SCS) is considered an indispensable treatment modality in the management of certain chronic pain conditions and it is showing good results for improvement in pain scores and functional capacity of the FBSS patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the change in pain scores, quality of life, and opioid medication intake as an outcome of neuromodulation procedures performed on patients diagnosed with failed back surgery syndrome, and to detect the post\u2010procedure complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective observational study was conducted at two university hospitals in Egypt and the U.S.A. during the period from September 2019 to August 2021 for patients who underwent spinal cord stimulation procedures for FBSS with follow\u2010up period of at least 1\u2009year. Patients who are 18\u2009years old or older diagnosed with FBSS for more than 6\u2009months and treated with spinal cord stimulation with successful trials during this time frame were included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010four patients were included in this study who had successful SCS trials and underwent permanent implantation of SCS devices with post\u2010procedure follow\u2010up period of 12\u2009months. Patients showed a median pain numerical rating scale (NRS) of 7\/10 at baseline with a median NRS of 4\/10 through the follow\u2010up period. Basic mobility and daily activity scores assessed by activity measure of post\u2010acute care (AM\u2010PAC) showed significant improvement from the mean of 16.87\u2009\u00b1\u20092.74 at baseline to a mean of 19.97\u2009\u00b1\u20092.93 through follow\u2010up. In addition, there was a reduction in opioid medication usage. Post\u2010procedure complications was of low percentage with the most detected were battery dysfunction in 7 patients and pocket pain in 6 patients. Reoperation was needed in 13 patients with 4 needed just revision and 9 patients required a complete removal of the device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Spinal cord stimulation is an effective modality of treatment for cases of failed back surgery syndrome with a statistically significant reduction in pain scores and a significant improvement in quality of life. Also, it achieves a recognizable reduction in opioid analgesic medications, with a reliable safety profile as detected with the recorded post\u2010procedure complications. However, randomized controlled trials with more patients and long\u2010term follow\u2010up are highly recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.13300","type":"journal-article","created":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T10:32:34Z","timestamp":1695810754000},"page":"261-269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Effect of spinal cord stimulation on quality of life and opioid consumption in patients with failed back surgery syndrome"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0274-5394","authenticated-orcid":false,"given":"Mohamed Amgad Elsayed","family":"Elkholy","sequence":"first","affiliation":[{"name":"Department of Neurosurgery and Spine Surgery Ain Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5364-6353","authenticated-orcid":false,"given":"Ahmed","family":"Nagaty","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Spine Surgery Ain Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Elsayed","family":"Abdelbar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Spine Surgery Ain Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisham Abdelsalam Mohamed","family":"Simry","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Spine Surgery Ain Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed M.","family":"Raslan","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Oregon Health and Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4193-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4637.2002.02007.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10132817"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12734"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2016.10.6.1195"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ner.12228"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnab110"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000325731.46702.D9"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000144839.65524.E0"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1532-2149.2011.00092.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S186662"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199302000-00004"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002217"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2007.07.028"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.302462"}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.13300","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T10:52:23Z","timestamp":1707907943000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/papr.13300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,27]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/papr.13300"],"URL":"https:\/\/doi.org\/10.1111\/papr.13300","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"value":"1530-7085","type":"print"},{"value":"1533-2500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,27]]},"assertion":[{"value":"2023-09-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}