Management of Failed Back Surgery Syndrome
Failed back surgery syndrome (FBSS) has been initially defined as the end-stage following one or several operative procedures on the spine in order to relieve axial and/or radicular pain without positive effect. However, in many of these patients there might still be a spinal pathology causing their symptoms. The most common causes include residual/recurrent disc herniation, spinal stenosis, infection or mechanical instability following decompression. Therefore, another and much more suitable definition of FBSS was provided by the international association for the study of pain. Thereby FBSS is present when patients are suffering from spinal pain of unknown origin either persisting despite surgical intervention or appearing after surgical intervention for spinal pain originally in the same topographical location.
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