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Patient satisfaction with cluneal nerve entrapment surgery

  • Original Article - Peripheral Nerves
  • Published:
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Abstract

Introduction

Low back pain (LBP) from superior or middle cluneal nerve entrapment has been addressed surgically. We recorded patient satisfaction with this treatment.

Methods

We included 22 consecutive patients who had undergone surgery for unilateral cluneal nerve entrapment (superior: n = 17, middle: n = 5). The numerical rating scale (NRS) for LBP, the Oswestry Disability Index (ODI) score, and the EuroQOL 5-dimension, 5-level (EQ-5D-5L) scale before and 6 months after the operation were compared. Using these scores, the treatment outcome was compared with the patients’ preoperative expectations.

Results

LBP was ameliorated in all 22 patients; their NRS, ODI, and EQ-5D-5L were significantly improved after surgery. Surgical satisfaction based on the postoperative NRS scores was recorded as 8.8 ± 1.1 (range 7–10). While the postoperative was significantly better than the expected NRS, the postoperative ODI was significantly higher than expected by the patients (both: p < 0.05). There was a moderate correlation between the postoperative NRS and ODI and postoperative patient satisfaction.

Conclusion

Patient satisfaction with the surgical result was rated as acceptable.

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References

  1. Cook C, Baxendale S (2022) Preoperative predictors of postoperative satisfaction with surgery. Epilepsy Behav 129:108612

    Article  Google Scholar 

  2. Ellis DJ, Mallozzi SS, Mathews JE, Moss IL, Ouellet JA, Jarzem P, Weber MH (2015) The relationship between preoperative expectations and the short-term postoperative satisfaction and functional outcome in lumbar spine surgery: A systematic review. Global Spine J 5:436–452

    Article  Google Scholar 

  3. Fujihara F, Isu T, Kim K, Sakamoto K, Matsumoto J, Miki K, Ito M, Isobe M, Inoue T (2021) Clinical features of middle cluneal nerve entrapment neuropathy. Acta Neurochir (Wien) 163:817–822

    Article  Google Scholar 

  4. Geoghegan CE, Mohan S, Cha EDK, Lynch CP, Jadczak CN, Singh K (2021) Achievement of a minimum clinically important difference for back disability is a suitable predictor of patient satisfaction among lumbar fusion patients. World Neurosurg 152:e94-100

    Article  Google Scholar 

  5. Isu T, Kim K, Morimoto D, Iwamoto N (2018) Superior and middle cluneal nerve entrapment as a cause of low back pain. Neurospine 15:25–32

    Article  Google Scholar 

  6. Iversen MD, Daltroy LH, Fossel AH, Katz JN (1998) The prognostic importance of pre-operative expectations of surgery for lumbar spinal stenosis. Patient Educ Couns 34:169–178

    Article  CAS  Google Scholar 

  7. Iwanaga J, Simonds E, Patel M, Oskouian RJ, Tubbs RS (2018) Anatomic study of superior cluneal nerves: application to low back pain and surgical approaches to lumbar vertebrae. World Neurosurg 116:e766–e768

    Article  Google Scholar 

  8. Iwanaga J, Simonds E, Schumacher M, Yilmaz E, Altafulla J, Tubbs RS (2019) Anatomic study of the superior cluneal nerve and its related groove on the iliac crest. World Neurosurg 125:e925–e928

    Article  Google Scholar 

  9. Iwanaga J, Simonds E, Schumacher M, Oskouian RJ, Tubbs RS (2019) Anatomic study of superior cluneal nerves: revisiting the contribution of lumbar spinal nerves. World Neurosurg 128:e12–e15

    Article  Google Scholar 

  10. Jackson JL, Chamberlin J, Kroenke K (2001) Predictors of patient satisfaction. Soc Sci Med 52:609–620

    Article  CAS  Google Scholar 

  11. Jacob KC, Patel MR, Collins AP, Park GJ, Vanjani NN, Prabhu MC, Pawlowski H, Parsons AW, Singh K (2022) Meeting patient expectations and achieving a minimal clinically important difference for back disability, back pain, and leg pain may provide predictive utility for achieving patient satisfaction among lumbar decompression patients. World Neurosurg 162:e328–e335

    Article  Google Scholar 

  12. Kikuta S, Iwanaga J, Watanabe K, Tubbs RS (2019) Revisiting the middle cluneal nerves: an anatomic study with application to pain syndromes and invasive procedures around the sacrum. World Neurosurg 127:e1228–e1231

    Article  Google Scholar 

  13. Kikuta S, Iwanaga J, Watanabe K, Haładaj R, Wysiadecki G, Dumont AS, Tubbs RS (2020) Posterior sacrococcygeal plexus: application to spine surgery and better understanding low-back pain. World Neurosurg 135:e567–e572

    Article  Google Scholar 

  14. Kim K, Shimizu J, Isu T, Inoue K, Chiba Y, Iwamoto N, Morimoto D, Isobe M, Morita A (2018) Low back pain due to superior cluneal nerve entrapment: a clinicopathologic study. Muscle Nerve 57:777–783

    Article  CAS  Google Scholar 

  15. Kim K, Isu T, Matsumoto J, Yamazaki K, Isobe M (2018) Low back pain due to middle cluneal nerve entrapment neuropathy. Eur Spine J 27:S309-313

    Article  Google Scholar 

  16. Kim K, Isu T, Morimoto D, Kokubo R, Fujihara F, Morita A (2022) Perioperative complications and adverse events after surgery for peripheral nerve- and para-lumbar spine diseases. Neurol Med Chir (Tokyo) 62:75–79

    Article  Google Scholar 

  17. Kokubo R, Kim K, Isu T, Morimoto D, Iwamoto N, Morita A (2020) Quality of life effects of pain from para-lumbar- and lower extremity entrapment syndrome and carpal tunnel syndrome and comparison of the effectiveness of surgery. Acta Neurochir (Wien) 162:1431–1437

    Article  Google Scholar 

  18. Konno T, Aota Y, Saito T, Qu N, Hayashi S, Kawata S, Itoh M (2017) Anatomical study of middle cluneal nerve entrapment. J Pain Res 10:1431–1435

    Article  Google Scholar 

  19. Kuniya H, Aota Y, Saito T, Kamiya Y, Funakoshi K, Terayama H, Itoh M (2013) Anatomical study of superior cluneal nerve entrapment. J Neurosurg Spine 19:76–80

    Article  Google Scholar 

  20. Kuniya H, Aota Y, Kawai T, Kaneko K, Konno T, Saito T (2014) Prospective study of superior cluneal nerve disorder as a potential cause of low back pain and leg symptoms. J Orthop Surg Res 31:139

    Article  Google Scholar 

  21. Licina P, Johnston M, Ewing L, Pearcy M (2012) Patient expectations, outcomes and satisfaction: related, relevant or redundant? Evid Based Spine Care J 3:13–19

    PubMed  PubMed Central  Google Scholar 

  22. Maigne JY, Doursounian L (1997) Entrapment neuropathy of the medial superior cluneal nerve. Nineteen cases surgically treated, with a minimum of 2 years’ follow-up. Spine 22:1156–1159

    Article  CAS  Google Scholar 

  23. Maigne JY, Lazareth JP, Guérin Surville H, Maigne R (1989) The lateral cutaneous branches of the dorsal rami of the thoracolumbar junction. An anatomical study on 37 dissections. Surg Radiol Anat 11:289–293

    Article  CAS  Google Scholar 

  24. Mancuso CA, Duculan R, Stal M, Girardi FP (2015) Patients’ expectations of lumbar spine surgery. Eur Spine J 24:2362–2369

    Article  Google Scholar 

  25. Matsumoto J, Isu T, Kim K, Iwamoto N, Morimoto D, Isobe M (2018) Surgical treatment of middle cluneal nerve entrapment neuropathy: Technical note. J Neurosurg Spine 29:208–213

    Article  Google Scholar 

  26. McGregor AH, Hughes SP (2002) The evaluation of the surgical management of nerve root compression in patients with low back pain: Part 2: patient expectations and satisfaction. Spine (Philadelphia, PA) 27:1471–1476

    Article  Google Scholar 

  27. Mooney J, Michalopoulos GD, Alvi MA, Zeitouni D, Chan AK, Mummaneni PV, Bisson EF, Sherrod BA, Haid RW, Knightly JJ, Devin CJ, Pennicooke B, Asher AL, Bydon M (2021) Minimally invasive versus open lumbar spinal fusion: a matched study investigating patient-reported and surgical outcomes. J Neurosurg Spine 14:1–14

    Google Scholar 

  28. Morimoto D, Isu T, Kim K, Chiba Y, Iwamoto N, Isobe M, Morita A (2017) Long-term outcome of surgical treatment for superior cluneal nerve entrapment neuropathy. Spine 42:783–788

    Article  Google Scholar 

  29. Rethorn ZD, Garcia AN, Cook CE, Gottfried ON (2020) Quantifying the collective influence of social determinants of health using conditional and cluster modeling. PLoS ONE 15:e0241868

    Article  CAS  Google Scholar 

  30. Rethorn ZD, Cook CE, Park C, Somers T, Mummaneni PV, Chan AK, Pennicooke BH, Bisson EF, Asher AL, Buchholz AL, Bydon M, Alvi MA, Coric D, Foley KT, Fu KM, Knightly JJ, Meyer S, Park P, Potts EA, Shaffrey CI, Shaffrey M, Than KD, Tumialan L, Turner JD, Upadhyaya CD, Wang MY, Gottfried O (2022) Social risk factors predicting outcomes of cervical myelopathy surgery. J Neurosurg Spine 28:1–8

    Google Scholar 

  31. Sittitavornwong S, Falconer DS, Shah R, Brown N, Tubbs RS (2013) Anatomic considerations for posterior iliac crest bone procurement. J Oral Maxillofac Surg 71:1777–1788

    Article  Google Scholar 

  32. Soroceanu A, Ching A, Abdu W, McGuire K (2012) Relationship between preoperative expectations, satisfaction, and functional outcomes in patients undergoing lumbar and cervical spine surgery: a multicenter study. Spine 37:E103-108

    Article  Google Scholar 

  33. Tubbs RS, Levin MR, Loukas M, Potts EA, Cohen-Gadol AA (2010) Anatomy and landmarks for the superior and middle cluneal nerves: application to posterior iliac crest harvest and entrapment syndromes. J Neurosurg Spine 13:356–359

    Article  Google Scholar 

  34. Yee TJ, Fearer KJ, Oppenlander ME, Kashlan ON, Szerlip N, Buckingham MJ, Swong K, Chang V, Schwalb JM, Park P (2020) Correlation between the Oswestry Disability Index and the North American Spine Surgery Patient Satisfaction Index. World Neurosurg 139:e724-729

    Article  Google Scholar 

  35. Yoo JS, Patel DV, Mayo BC, Massel DH, Karmarkar SS, Lamoutte EH, Singh K (2019) Postoperative satisfaction following lumbar spinal fusion surgery: patient expectation versus actuality. J Neurosurg Spine 26:1–7

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Neurological Surgery, Chiba Hokuso Hospital, Nippon Medical School, Kamagari, Inzai City, Chiba, 1715, Japan

    Kyongsong Kim & Rinko Kokubo

  2. Department of Neurosurgery, Kushiro Rosai Hospital, Hokkaido, Japan

    Toyohiko Isu

  3. Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan

    Daijiro Morimoto & Akio Morita

Authors
  1. Kyongsong Kim
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  2. Rinko Kokubo
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  3. Toyohiko Isu
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  4. Daijiro Morimoto
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  5. Akio Morita
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Kyongsong Kim and Rinko Kokubo. The first draft of the manuscript was written by Kyongsong Kim, and Toyohiko Isu, Daijiro Morimoto, and Akio Morita revised the manuscript critically for important intellectual content. All authors read and approved the final manuscript.

Kyongsong Kim agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Corresponding author

Correspondence to Kyongsong Kim.

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Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Approval was obtained from the ethics committee of Chiba Hokuso Hospital, Nippon Medical School.

Conflict of interest

The authors declare no competing interests.

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Kim, K., Kokubo, R., Isu, T. et al. Patient satisfaction with cluneal nerve entrapment surgery. Acta Neurochir 164, 2667–2671 (2022). https://doi.org/10.1007/s00701-022-05344-1

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