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Year : 2018  |  Volume : 8  |  Issue : 2  |  Page : 47-53

Management of Failed Back Surgery Syndrome (FBSS)

Spine Team, Orthopaedic Unit, Department of Surgery, Aminu Kano Teaching Hospital/Bayero University, Kano, Nigeria

Correspondence Address:
Dr. Mohammed K Abubakar
Spine Team, Orthopaedic Unit, Department of Surgery, Aminu Kano Teaching Hospital/Bayero University, Kano
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ais.ais_38_18

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This article aims to highlight the current management of failed back surgery syndrome (FBSS) based on a systematic review of current literature. Literatures reviewed were from the Internet medical search engine such as PubMed, MEDLINE, and Embase. The search was narrowed down to the topic under review. In all, 1,345 articles were initially obtained. These were subsequently narrowed to 83 reviews so as to meet the objective of the review which describes persistent or recurring low back pain with or without sciatica following one or more spine surgeries. The increase in the number of patients undergoing back surgery has led to a corresponding increase in patients whose expectations are not met. Poor outcome following back surgery ranges from 10% to 40%. Outcome worsens with increase in the number of reoperation. Evaluation of this patient should be by detailed history, physical examination, and investigation. The treatment approach should be holistic and all encompassing. Patients psychological state and expectations should be assessed. Etiology of FBSS may include wrong diagnosis, failure to address the primary pathology, and intraoperative surgical errors. Treatment of FBSS is multidisciplinary. The treatment modalities include pharmacological, physical, interventional, spinal cord stimulation, psychological, and surgical.

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