190. Preoperative opioid therapy poorly controls pain in nonrevision adult spinal deformity (ASD) and increases risk for chronic postoperative opioid usage

Iatrogenic malalignment, nonunion and adjacent segment degeneration are established etiologies for pain in adult spinal deformity (ASD). However, reasons for pain among ASD patients with no prior history of surgery (nonrevision) are incompletely understood. Opioid therapy for pain is controversial and problematic.

Source: The Spine Journal - August 23, 2019 Category: Orthopaedics Authors: Shay Bess, Breton Line, Michael P. Kelly, Jeffrey L. Gum, Richard A. Hostin, Khaled M. Kebaish, Christopher P. Ames, Douglas C. Burton, Gregory M. Mundis, Robert K. Eastlack, Robert A. Hart, Munish C. Gupta, Eric O. Klineberg, Han Jo Kim, Virginie Lafage, Source Type: research