Chronic Pain After Scoliosis and Thoracic Surgery in Children

University Hospital, Bordeaux68 enrolled

Overview

The aim of this epidemiologic prospective study is to determine the prevalence of CPSP defined as pain occurring 4 months after scoliosis and thoracic surgery and rated \> 3 on a 10 point visual analogue scale or FLACC scale, in children aged from 6 to 18 years. The main objective : prevalence of chronic post surgical pain 4 months after scoliosis ant thoracic surgery in children aged 6 to 18 years. The secondary objectives: the intensity of chronic post surgical pain, the prevalence of neuropathic syndrome and the predictive risk factors.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Thoracic Surgery Scoliosis; Adolescence Pediatric ALL Chronic Pain

Eligibility

Sex: ALLMin age: 6 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * children aged from 6 to 18 years undergoing scoliosis or thoracic surgery in paediatric Bordeaux hospital. Exclusion Criteria: * patients who not willing to participate, with children and/or parental insufficient understanding of the questionnaires.

Locations (1)

Outcomes

Primary Outcomes

pain at 4 months after surgery

visual analogue scale for pain (0\_100)

Time frame: 4 months after scoliosis and thoracic surgery in children aged 6 to 18 years

Secondary Outcomes

adverse events after surgery

infections, neurologic defect, new surgery, blood hematoma

Time frame: adverse events during peri-operative period (hospital stay, i.e. during the first month after surgery)

morphine consumption during the perioperative period

morphine consumption (mg/day)

Time frame: the perioperative period (preoperative period i.e. more than 1 month before, the month before, the before surgery; during hospitalization)

pain during the perioperative period

visual analogue scale for pain (0-100)

Time frame: the perioperative period (preoperative period i.e. more than 1 month before, the month before, the before surgery; during hospitalization)

pain during the perioperative period in disabled children aged 6 to 18 years

FLACC scale level (0-100)

Time frame: the perioperative period (preoperative period i.e. more than 1 month before, the month before, the before surgery; during hospitalization)

prevalence of neuropathic syndrome during perioperative period and at 4 months after surgery

DN4 questionnaire

Time frame: 2'4-48 h hours period after surgery, 4 months after surgery

pain at 4 months after surgery

modified FLACC scale for pain

Time frame: 4 months after scoliosis and thoracic surgery in disabled children aged 6 to 18 years