CRD summary The aim was to assess the cost-effectiveness of spinal cord stimulation compared with conventional medical management or reoperation, for patients with failed back surgery syndrome. The authors concluded that spinal cord stimulation was a cost-effective addition to conventional medical management and alternative to reoperation, for these patients. The methods and the reporting of th...

BACKGROUND Failed back surgery syndrome (FBSS) is a major clinical problem. Different etiologies with different incidence rates have been proposed. There are currently no standards regarding the management of these patients. Epiduroscopy is an endoscopic technique that may play a role in the management of FBSS. OBJECTIVE To evaluate an algorithm for management of severe FBSS including epiduro...

Background: Today application of computer in the life of people is very common and those who work with computer in especially long – term are faced with musculoskeletal pains. The aim of this study was to investigate risk factors of musculoskeletal and Joint pains among computer users in Rafsanjan city in the years 2012-13. Materials and Methods: In this descriptive study, 420 computer...

OBJECTIVES Spinal cord stimulation (SCS) is an effective method of relieving chronic intractable pain, and one of its key indications is failed back surgery syndrome (FBSS). The objective of the current study was to evaluate the cost effectiveness of 10 kHz high-frequency SCS (HF10 SCS) compared to conventional medical management (CMM), reoperation, and traditional nonrechargeable (TNR-SCS) and...

INTRODUCTION Spinal cord stimulation is a safe and effective procedure applied for medically intractable neuropathic pain and failed back surgery syndrome. Recently, a novel stimulation paradigm was developed, called burst stimulation consisting of intermittent packets of closely spaced high-frequency stimuli. The design consists of 40 Hz burst mode with 5 spikes at 500 Hz per burst, with a pul...

STUDY DESIGN Prospective cohort study. OBJECTIVE We estimated the cost-effectiveness of spinal cord stimulation (SCS) among workers' compensation recipients with failed back surgery syndrome (FBSS). SUMMARY OF BACKGROUND DATA Randomized controlled trial (RCT) evidence suggests that SCS is more effective at 6 months than medical management for patients with FBSS. However, procedure costs are...

BACKGROUND Despite recent developments in implantable neurostimulation devices, the adjustment of stimulation levels to the patient's postural changes has remained a problem so far. OBJECTIVE This study was conducted with the newest rechargeable devices, in order to compare its results with the ones published from conventional systems. STUDY DESIGN It is a prospective study. SETTING In 46...

Failed back surgery syndrome (FBSS) is complex and recurrent chronic pain after spinal surgery. Several important patient and surgery related risk factors play roles in development of FBSS. Inadequate selection of the candidates for the spinal surgeries is one of the most crucial causes. The guidelines suggest that conservative management featuring pharmacologic approaches and rehabilitation sh...