Use of neuropathic pain questionnaires in predicting the development of failed back surgery syndrome following lumbar discectomy for radiculopathy

Abstract

(MSc, PhD, or ≥ 2 years of non-degree research) and full employment was determined by Fisher's exact test. Results: 60% and 26% of graduates currently have full-time staff positions in Canada and the US, respectively. "Underemployment," defined as failure to secure a full-time position in neurosurgery despite a desire to do so (including locums, additional fellowship positions, unemployment and career changes) is currently seen in 12% of graduates, with 20% having been underemployed at some point within 5 years of graduation. Pursuit of research during residency was significantly associated with obtaining full employment (94% vs. 73%, p=0.011). Conclusions: Underemployment is a significant issue in recent neurosurgical graduates from Canadian training programs. Research training during residency appears strongly associated with obtaining full employment.

Factors Determining Outcome After Trigeminal Nerve Surgery for Neuropathic Pain

“…Decompression of the lumbar spinal nerve for painful radiculopathy failed to improve pain intensity in patients who reported neuropathic pain before surgery. 9 Conversely, complex regional pain syndrome type II was decreased by the resection, repair, and relocation of the superficial peroneal and sural nerves for neuropathic pain of the leg of 1 patient, 10 and neuropathic pain of the median nerve was eliminated in 1 patient and decreased in the radial digital nerve of the thumb in another patient after resection of neuromas with reconstruction of the nerves using entubulation methods. 11 For trigeminal neuropathic pain, the benefits of trigeminal surgery of the IAN and LN has had mixed outcomes.…”