Failed Back Surgery Syndrome Pitfalls Surrounding Evaluation and Treatment

سال انتشار: 1397
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 352

نسخه کامل این مقاله ارائه نشده است و در دسترس نمی باشد

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:

شناسه ملی سند علمی:

APAMED08_024

تاریخ نمایه سازی: 23 آذر 1397

چکیده مقاله:

Failed back surgery syndrome (FBSS) is a multidimensional chronic pain syndrome that has significant myofascial and psychosocial components that are directly related to the high incidence of lumbar surgeries in the United States. FBSS is persistent or recurring low back pain with or without lumbosacral radiculopathy after 1 or more spine surgeries.The incidence of FBSS is reported as between 10% and 40% but ranges between 5% and 50% have been quoted for microlaminectomy alone. The incidence is known to increase with more complex surgeries and has not improved with the development of less-invasive advanced surgical techniques.The failure rate for lumbar fusion is reported between 30% and 46% based on previous reviews whereas the failure rate for microdiskectomy is thought to range between 19% and 25%.The financial costs are considerable. The development of more sophisticated surgeries and interventional treatments has not made a measurable impact on outcomes relative to return to work or medication use. Physical examination and radiologic evaluation have to correlate and take into account the clinical overlap of various types of pain, including radicular pain, referred (myofascial) pain,and chronic neurogenic pain, when reviewing findings. Prevention is the most effective treatment and postoperative treatment requires realistic goals focusing on functional accomplishments, not complete pain relief.

نویسندگان

Behnam Hosseini

MD, Anesthesiology department, Akhtar hospital, SBMU, Tehran, Iran

Faramarz Mosaffa

MD, Anesthesiology department, Akhtar hospital, SBMU, Tehran, Iran

Shideh Dabir

MD, Anesthesiology department, Akhtar hospital, SBMU, Tehran, Iran