Pain Management in Spine Surgery

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Background

Pain management in spine surgery is a critical component of postoperative care, significantly influencing patient recovery, quality of life, and surgical outcomes. Spine surgeries, ranging from minimally invasive to major reconstructive procedures, present varying levels of postoperative pain, necessitating effective management strategies. Traditionally, opioids have been the primary solution for managing postoperative pain; however, their use is associated with significant risks, including addiction, tolerance, and adverse side effects. This has led to an urgent need for exploring multimodal pain management approaches that can provide effective relief while minimizing opioid-related risks. Recent studies have highlighted the potential of alternative strategies, such as non-opioid pharmacotherapy, physiotherapy, and other integrative techniques, in achieving effective pain control. Despite these advancements, there remains a gap in comprehensive, evidence-based protocols that integrate these diverse approaches, underscoring the need for further research to optimize pain management in spine surgery.

This research topic aims to develop and evaluate effective pain control and management strategies for patients undergoing spine surgery. The primary objectives include investigating various interventions and advanced pain management techniques to formulate an integrated, evidence-based protocol. The goal is to enhance postoperative recovery, reduce complications, and improve patient satisfaction. By focusing on these objectives, the research seeks to provide a comprehensive understanding of optimal pain management practices, ultimately leading to better functional outcomes and improved quality of life for spine surgery patients.

To gather further insights in the realm of pain management in spine surgery, we welcome articles addressing, but not limited to, the following themes:
- Comparison of pain between different spine surgeries.
- Studies on the prevalence, epidemiological analysis, diagnosis, prognosis, and imaging of postoperative pain.
- Risk assessment and clinical management of postoperative pain, including the influence of preoperative management.
- Nursing interventions for postoperative pain.
- Various treatment approaches, such as pharmacotherapy, physiotherapy, acupuncture, exercise, manual therapy, massage, electrophysical agents, epidural injections, surgery, multidisciplinary care, and usual care.
- Novel interventions and biomaterials that mitigate pain following spine surgery, including internal fixation materials and bone grafts.
- Systematic reviews and meta-analyses of randomized controlled trials or primary clinical data to evaluate the efficacy of novel therapeutics and potential risk factors for postoperative pain.
- Evidence for sex differences in the incidence and therapy of postoperative pain.

Keywords: Multimodal Pain Management, Postoperative Recovery, Prevalence and Diagnosis, Novel Therapeutics, Risk Assessment

Important note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

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