The Impact of Spinal Cord Stimulation on Sleep Patterns

Ramineni, Tina; Prusik, Julia; Patel, Samik; Lange, Steven; Haller, Jessica; Argoff, Charles E.; Pilitsis, Julie G.

doi:10.1111/ner.12382

Cited by 16 publications

(11 citation statements)

References 35 publications

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“…Ramineni and colleagues reported that pain lessening after SCS increased sleep quality and improved quality of life [17]. Likewise, our results proved to be concomitant as patients' quality of sleep after both conventional and position adaptive SCS patient populations was observed to improve significantly (p < 0.001).…”

Section: Discussionsupporting

confidence: 74%

Sensor driven-position adaptive versus conventional spinal cord stimulation in failed back surgery syndrome: a retrospective case series

Akbaş

Salem

Emara

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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Background: Failed back surgery syndrome (FBSS) is a common problem affecting 20-40% of cases undergoing spine surgeries. Spinal cord stimulation (SCS) has been shown to be an efficient and relatively safe treatment in managing many intractable chronic pain syndromes.Objectives: This study compares the efficacy and safety of MR-compatible sensor driven-position adaptive SCS and conventional SCS in treating FBSS. Methods: This is a retrospective case series of 120 consecutive FBSS patients who underwent SCS between February 2011 and March 2018. Pain levels, analgesic/opioid use, and sleep problems were assessed before and 3 months after the procedure in patients who received either conventional SCS (group 1; n = 62) or sensor-driven position adaptive SCS (group 2; n = 34). The degree of patient satisfaction, the change in the activities of daily living (ADLs) together with the rate of complications were compared in both treatment groups. Results: The two treatment groups were homogenous at baseline. Patients in both groups improved significantly regarding pain, opioid consumption, sleep, and ADLs. The magnitude of improvement was statistically higher in group 2. An absolute reduction of 6 points on the VAS in patients who received position adaptive SCS vs a 3.3 point reduction in conventional SCS cases (p < 0.0001). Half of the patients in group 2 (n = 17) showed excellent satisfaction after the procedure versus 14.5% of cases in group 1 (n = 9). Conclusion: SCS is an efficient and reliable treatment in FBSS. MR-compatible sensor driven-position adaptive SCS can be a more effective treatment in this patient group.

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Section: Discussionsupporting

confidence: 74%

Sensor driven-position adaptive versus conventional spinal cord stimulation in failed back surgery syndrome: a retrospective case series

Akbaş

Salem

Emara

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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“…This observational study has monitored twenty‐two patients with FBSS, comparing their self‐reported sleep (PSQI) with objectively measured sleep by actigraphy. In patients with chronic pain, sleep problems are reported between 50–88% . Our study population of FBSS patients resides in the upper echelon of those reported percentages, as 84.2% (16/19) had a PSQI score higher than 5 and 73.6% (14/19) a SE score lower than 85%.…”

Section: Discussionmentioning

confidence: 90%

Does Spinal Cord Stimulation Really Influence Sleep?

Jaeger

Goudman

Groote

et al. 2019

Neuromodulation: Technology at the Neural Interface

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“…For instance, the periaqueductal gray region and thalamus are known to play key roles in sleep and nociception 15-18. A recent interesting study demonstrated that spinal cord stimulation for FBSS treatment makes better sleep and this sleep improvement correlates with better pain relief 19. As a contributor to pain, insomnia should be incorporated in treatment planning for the pain associated with FBSS.…”

Section: Discussionmentioning

confidence: 99%

Clinical insomnia and associated factors in failed back surgery syndrome: a retrospective cross-sectional study

Yun¹,

Kim²,

Yoon³

et al. 2017

Int. J. Med. Sci.

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Background Insomnia frequently occurs to patients with persistent back pain. By worsening pain, mood, and physical functioning, insomnia could lead to the negative clinical consequences of patients with failed back surgery syndrome (FBSS). This retrospective and cross-sectional study aims to identify the risk factors associated with clinical insomnia in FBSS patients.Methods A total of 194 patients with FBSS, who met the study inclusion criteria, were included in this analysis. The Insomnia Severity Index (ISI) was utilized to ascertain the presence of clinical insomnia (ISI score ≥ 15). Logistic regression analysis evaluates patient demographic factors, clinical factors including prior surgical factors, and psychological factors to identify the risk factors of clinical insomnia in FBSS patients.Results After the persistent pain following lumbar spine surgery worsened, 63.4% of patients reported a change from mild to severe insomnia. In addition, 26.2% of patients met the criteria for clinically significant insomnia. In a multivariate logistic regression analysis, high pain intensity (odds ratio (OR) =2.742, 95% confidence interval (CI): 1.022 - 7.353, P=0.045), high pain catastrophizing (OR=4.185, 95% CI: 1.697 - 10.324, P=0.002), greater level of depression (OR =3.330, 95% CI: 1.127 - 9.837, P=0.030) were significantly associated with clinical insomnia. However, patient demographic factors and clinical factors including prior surgical factors were not significantly associated with clinical insomnia.Conclusions Insomnia should be addressed as a critical part of pain management in FBSS patients with these risk factors, especially in patients with high pain catastrophizing.

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The Impact of Spinal Cord Stimulation on Sleep Patterns

Cited by 16 publications

References 35 publications

Sensor driven-position adaptive versus conventional spinal cord stimulation in failed back surgery syndrome: a retrospective case series

Sensor driven-position adaptive versus conventional spinal cord stimulation in failed back surgery syndrome: a retrospective case series

Does Spinal Cord Stimulation Really Influence Sleep?

Clinical insomnia and associated factors in failed back surgery syndrome: a retrospective cross-sectional study

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