Research Article

Skin Closure Technique and Postprocedural Pain after Spinal Cord Stimulator Implantation: A Retrospective Review

Table 3

Association between risk factors and postoperative pain scores.

Overall cohort β-coefficient (95% CI) valueStaples cohort β-coefficient (95% CI) valueSuture cohort β-coefficient (95% CI) value
Postoperative day #1

Age at implant−0.02 (−0.04 to 0.01)0.180−0.02 (−0.06 to 0.02)0.267−0.01 (−0.05 to 0.02)0.471
Sex1.19 (0.47 to 1.91)0.0011.43 (0.50 to 2.36)0.0031.25 (−0.15 to 2.65)0.079
BMI−0.02 (−0.09 to 0.05)0.5200.01 (−0.08 to 0.10)0.792−0.08 (−0.18 to 0.03)0.165
Preprocedural pain score0.41 (0.08 to 0.73)0.0140.18 (−0.23 to 0.60)0.3770.78 (0.26 to 1.31)0.004
History of fibromyalgia1.65 (−0.12 to 3.42)0.0681.50 (−0.44 to 3.43)0.1291.95 (−2.80 to 6.70)0.415
History of opioid use−0.41 (−1.24–0.43)0.338−0.85 (−1.93 to 0.22)0.1180.21 (−1.13 to 1.55)0.754

Overall cohort β-coefficient (95% CI) valueStaples cohort β-coefficient (95% CI) valueSuture cohort β-coefficient (95% CI) value
Postoperative day #10

Age at implant−0.06 (−0.09 to −0.03)<0.001−0.07 (−0.12 to −0.03)0.001−0.04 (−0.09 to 0.01)0.092
Sex1.09 (0.15 to 2.02)0.0230.95 (−0.34 to 2.25)0.1481.32 (−0.058 to 2.70)0.060
BMI−0.03 (−0.11 to 0.06)0.527−0.01 (−0.12 to 0.11)0.930−0.06 (−0.20 to 0.08)0.381
Preprocedural pain score0.50 (0.09 to 0.92)0.0190.58 (0.06 to 1.10)0.0300.31 (−0.44 to 1.06)0.414
History of fibromyalgia0.98 (−1.08 to 3.04)0.3480.43 (−2.17 to 3.02)0.7442.45 (−1.16 to 6.06)0.179
History of opioid use−0.58 (−1.61 to 0.44)0.263−0.16 (−1.57 to 1.25)0.822−1.20 (−2.73 to 0.33)0.121

Linear regression models were performed to identify associations between selected risk factors and postoperative pain. This is presented for the overall cohort as well as stratified based on staples and suture. value <0.05.