COMPLEX REGIONAL PAIN SYNDROME FOLLOWING SPINAL DISEASES AND SURGERIES

Özet

Complex regional pain syndrome (CRPS) impairs the patient’s active life and his/her psychological state due to reductions in functional movements, severe pain, and muscle atrophy. Fractures and surgical operations are important risk factors for CRPS, and several studies reported incidences of CRPS following surgical procedures to the upper or lower limb. CRPS can also be seen after spinal diseases and surgeries, yet the literature includes only limited number of studies in this area and there are not enough works considering incidence of CRPS following spinal problems. While early diagnosis and appropriate treatment of CRPS in acute period are very important for prevention of chronic symptoms (including allodynia, swelling, muscular atrophy, osteoporosis and contracture), clinicians need to be aware that the spinal problems may cause CRPS. The aim of this review is to emphasize the possibility of CRPS development after spinal diseases or surgeries and strongly argue that the diagnosis of CRPS following spinal problems must be considered by clinicians.