Table 2.
Case reports for neuropathic low back pain after surgical trauma
| Gender | Age | Primary diagnosis (pain indication/cause of pain) | Localization of pain symptoms | Duration of pain in years | Hyperalgesia | Allodynia/allodynia severity rating | Stabbing pain | Burning pain | Shooting pain | Monotherapy | Plasters per day | Duration of plaster treatment (months) | CGIC score |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| F | 75 | Failed back surgery syndrome: laminectomy L4–L5 + decompression and fusion with supplemental instrumentation – Nov 2008; 2nd surgery 24 hours after the 1st one – pain and right foot dorsiflexion paresis | lumbar back pain and right leg paresthesias and dysesthesias | 0.58 | X | 2 | X | N | 1 | 6 ongoing |
1 – on the back | ||
| F | 49 | Failed back surgery syndrome focal neuropathic back pain | back, around the postoperative scar | 0.33 | X | 1 | X | Y | 1 | 1 | 1 | ||
| M | 22 | Low back pain after lumbar puncture for spinal anesthesia (for circumcision)a | axial pain in the point of puncture and nearby L3–L4 | 0.17 | X | 1 | X | N | 1/4 | 2 | 1 | ||
| M | 69 | TURP Feb 1990 failed back surgery syndrome – spine surgery (1992) to perform drainage of spine epidural empyema in the context of Conn syndrome (saddle anesthesia, bladder and bowel dysfunction) | lumbar pain, around incision scar | 18.0 | X | 2–3 | X | X | N | 1 | 8 ongoing |
1 | |
| F | 52 | Failed back surgery syndrome | back | 5.0 | 1 | X | N | 1 | 5 ongoing |
2 | |||
| F | 67 | Fracture L1, traffic accident; spine surgery April 2004; 2006: 2nd spine surgery for material extraction | low back pain, incidental, like stabbing; since second surgery. without irradiation | 3.0 | X | 0 | X | N | 1 | 6 ongoing |
2 | ||
| M | 63 | Lumbar pain/postsurgical, lumbar pain L4–L5 | lumbar (scar) + neuropathic pain right lower limb | 0.33 | X | X | X | N | 1 1/2 | 10 | 2 | ||
| M | 35 | Postlaminectomy L5–S1 and surgery for lumbar herniated disc L4–L5 | left foot | 0.08 | X | 2 | X | X | N | 1 | 3 | 2 | |
| F | 35 | Neck pain post failed surgery, nociceptive and neuropathic pain | cervicobrachial left area | 2.0 | X | 2 | X | N | 1 | 3 | 2 | ||
| F | 44 | Failed back surgery syndrome | low back | 1.0 | 1 | X | N | 1 | 2 | 2 | |||
| M | 49 | Failed back surgery | low back | 3.0 | X | 0 | X | N | 1 | 3 | 2 | ||
| F | 36 | Failed back surgery syndrome | low back pain | 2.0 | X | 0 | X | N | 1/4 | 3 | 2 | ||
| F | 82 | Failed back surgery syndrome | back and right buttock | 0.5 | X | 0 | X | X | N | 1 | 1.5 | 3 | |
| M | 52 | Failed back surgery | lumbar spine | 5.0 | 1 | X | X | N | 1 1/2 | 1.5 | 3 | ||
| F | 48 | Failed back surgery syndrome | low back, left leg | 4.0 | 2 | X | X | N | 2 | 0.75 | 3 | ||
| M | 39 | Failed back surgery | back and left part of low back | 3.0 | X | 0 | X | X | N | 1 | 0.5 | 5–6 | |
| F | 43 | Painful surgery (NR) | NR | 0.5 | X | 3 | N | 1 | 7 ongoing |
NA |
a
Notes: Paresthesias and dysesthesias. Allodynia severity rating: 0 = no pain or discomfort to touch, 1 = uncomfortable, but tolerable to touch, 2 = painful, 3 = extremely painful, patient cannot stand touching; duration of pain was converted to years, term “many years” was set to ≥5 years in the table and to 5 years for calculation of means.
Abbreviations: CGIC, Clinical Global Impression of Change (1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = very much worse); F, female; M, male; NA, not available; NR, not readable; TURP, transurethral resection of prostate; X, symptom present.