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Revision Surgery and Alternative Treatment Options for Recurrent Pain Following Spinal Surgery

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Integrating Pain Treatment into Your Spine Practice

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Abstract

Chronic low back pain represents a complex problem affecting a large percentage of the global population, with excessive costs to the health care system. While a large portion of these patients undergo surgical interventions for the treatment of degenerative spine disease, many patients still experience severe back pain and radicular symptoms following their surgery. Some of these cases merit revision surgery, yet for the remaining patients treatment can be difficult. This chapter reviews the role of revision surgery as well as alternative treatment options such as physical therapy, pain management, and neuromodulation, including spinal cord stimulation (SCS) and intrathecal pain pumps (ITP), to produce effective back and neuropathic pain relief in patients who have already undergone prior spinal surgery.

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Author information

Authors and Affiliations

  1. Case Western Reserve University School of Medicine, 2109 Adelbert Rd, Cleveland, OH, 44106, USA

    Aleka Scoco B.A.

  2. Functional and Restorative Neurosurgery Center, University Hospital Case Medical Center, 11100 Euclid Ave., Mailstop 5042, Cleveland, OH, 44106, USA

    Jonathan P. Miller M.D., F.A.A.N.S., F.A.C.S. & Jennifer A. Sweet M.D.

  3. Neurological Surgery, Case Western Reserve University School of Medicine, 11100 Euclid Ave., Mailstop 5042, Cleveland, OH, 44106, USA

    Jonathan P. Miller M.D., F.A.A.N.S., F.A.C.S. & Jennifer A. Sweet M.D.

Authors
  1. Aleka Scoco B.A.
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  2. Jonathan P. Miller M.D., F.A.A.N.S., F.A.C.S.
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  3. Jennifer A. Sweet M.D.
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Correspondence to Jennifer A. Sweet M.D. .

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Editors and Affiliations

  1. St. Luke’s University Health Network, Neurosurgery, Bethlehem, Pennsylvania, USA

    Steven M. Falowski

  2. Summit Pain Alliance, Santa Rosa, California, USA

    Jason E. Pope

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Scoco, A., Miller, J.P., Sweet, J.A. (2016). Revision Surgery and Alternative Treatment Options for Recurrent Pain Following Spinal Surgery. In: Falowski, S., Pope, J. (eds) Integrating Pain Treatment into Your Spine Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-27796-7_5

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  • DOI: https://doi.org/10.1007/978-3-319-27796-7_5

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