Pathogenesis, etiology and treatment of failed back surgery syndrome

R Alizadeh; S R Sharifzadeh

doi:10.1016/j.neuchi.2021.09.005

Pathogenesis, etiology and treatment of failed back surgery syndrome

Neurochirurgie. 2022 Jul;68(4):426-431. doi: 10.1016/j.neuchi.2021.09.005. Epub 2021 Sep 17.

Authors

R Alizadeh¹, S R Sharifzadeh²

Affiliations

¹ Department of Anesthesiology and Intensive Care, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
² Department of Orthopedic Surgery, School of Medicine, AJA University of Medical Science, Tehran, Iran. Electronic address: md.r.sharifzadeh@gmail.com.

PMID: 34543614
DOI: 10.1016/j.neuchi.2021.09.005

Abstract

Failed back surgery syndrome (FBSS) is associated with persistent lower back pain after and despite one or more surgical interventions. A number of factors underlie and maintain FBSS and successful management of pain chiefly depends on identifying them. Pharmacological, surgical, and non-surgical therapeutic measures are taken to treat the pain. Spinal cord stimulation and nerve stimulation have been widely practiced in this regard and enhanced pain reduction and patient satisfaction. In hernia and recurrent disc degeneration and sagittal imbalance, discectomy and/or fusion are indicated. The present review focuses on FBSS and its underlying components and on available treatment options.

Keywords: Chirurgie; Chronic lower back pain; Failed back surgery syndrome (FBSS); Lombalgie chronique; Moelle épinière; Spinal cord; Surgery; Syndrome de chirurgie du dos (FBSS).

Publication types

Review

MeSH terms

Diskectomy
Failed Back Surgery Syndrome* / etiology
Failed Back Surgery Syndrome* / therapy
Humans
Low Back Pain* / etiology
Low Back Pain* / therapy
Patient Satisfaction
Spinal Cord Stimulation*
Treatment Outcome