TY - JOUR
T1 - Failed back surgery syndrome
T2 - Current perspectives
AU - Baber, Zafeer
AU - Erdek, Michael A.
N1 - Publisher Copyright:
© 2016 Baber and Erdek.
PY - 2016/11/7
Y1 - 2016/11/7
N2 - The treatment of failed back surgery syndrome (FBSS) can be equally challenging to surgeons, pain specialists, and primary care providers alike. The onset of FBSS occurs when surgery fails to treat the patient’s lumbar spinal pain. Minimizing the likelihood of FBSS is dependent on determining a clear etiology of the patient’s pain, recognizing those who are at high risk, and exhausting conservative measures before deciding to go into a revision surgery. The workup of FBSS includes a thorough history and physical examination, diagnostic imaging, and procedures. After determining the cause of FBSS, a multidisciplinary approach is preferred. This includes pharmacologic management of pain, physical therapy, and behavioral modification and may include therapeutic procedures such as injections, radiofrequency ablation, lysis of adhesions, spinal cord stimulation, and even reoperations.
AB - The treatment of failed back surgery syndrome (FBSS) can be equally challenging to surgeons, pain specialists, and primary care providers alike. The onset of FBSS occurs when surgery fails to treat the patient’s lumbar spinal pain. Minimizing the likelihood of FBSS is dependent on determining a clear etiology of the patient’s pain, recognizing those who are at high risk, and exhausting conservative measures before deciding to go into a revision surgery. The workup of FBSS includes a thorough history and physical examination, diagnostic imaging, and procedures. After determining the cause of FBSS, a multidisciplinary approach is preferred. This includes pharmacologic management of pain, physical therapy, and behavioral modification and may include therapeutic procedures such as injections, radiofrequency ablation, lysis of adhesions, spinal cord stimulation, and even reoperations.
KW - Back pain
KW - Back pain with radiation
KW - Back pain without radiation
KW - Low back pain
KW - Pain disorder
KW - Review
KW - Spinal cord stimulation
UR - http://www.scopus.com/inward/record.url?scp=84995676319&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84995676319&partnerID=8YFLogxK
U2 - 10.2147/JPR.S92776
DO - 10.2147/JPR.S92776
M3 - Review article
C2 - 27853391
AN - SCOPUS:84995676319
SN - 1178-7090
VL - 9
SP - 979
EP - 987
JO - Journal of Pain Research
JF - Journal of Pain Research
ER -