FBSS (Failed Back Surgery Syndrome)
Persistent pain following surgery
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What is this Condition?
Failed Back Surgery Syndrome is the persistence or recurrence of pain following spinal surgery. It may develop due to technical problems, misdiagnosis, epidural fibrosis, or psychosocial factors.
Diagnosis Methods
MRI is used to evaluate for epidural fibrosis, residual disc herniation, instability, or new pathology. EMG demonstrates nerve damage.
Treatment Methods
Conservative management is preferred initially (medications, physical therapy, pain management). Revision surgery or spinal cord stimulation may be considered in specific cases.
References
- Greenberg MS. Handbook of Neurosurgery. 10th ed. Thieme; 2023:1243.
- Steinmetz MP, Benzel EC, eds. Benzel's Spine Surgery. 5th ed. Elsevier; 2022:1311.
- Functional Neurosurgery and Neuromodulation. Philadelphia: Elsevier; 2019:44.
- Kumar K, et al. Treatment of Chronic Pain by Interventional Approaches. New York: Springer; 2015:496.
This content is for informational purposes and based on academic sources; consult your physician for diagnosis and treatment.
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