Spinal Cord Stimulation in Failed Back Surgery Syndrome: Review of Clinical Use, Quality of Life and Cost-Effectiveness.
10.4184/asj.2016.10.6.1195
- Author:
Przemyslaw M WASZAK
1
;
Marta MODRIĆ
;
Agnieszka PATUREJ
;
Stanislav M MALYSHEV
;
Agnieszka PRZYGOCKA
;
Hanna GARNIER
;
Tomasz SZMUDA
Author Information
1. Janusz Korczak Memorial Voivodeship Hospital, Słupsk, Poland. p.waszak@gumed.edu.pl
- Publication Type:Review
- Keywords:
Spinal cord stimulation;
Failed back surgery syndrome;
Low back pain;
Pain management
- MeSH:
Chronic Pain;
Failed Back Surgery Syndrome*;
Humans;
Low Back Pain;
Pain Management;
Quality of Life*;
Rehabilitation;
Risk Factors;
Spinal Cord Stimulation*;
Spinal Cord*;
Treatment Outcome
- From:Asian Spine Journal
2016;10(6):1195-1204
- CountryRepublic of Korea
- Language:English
-
Abstract:
Failed back surgery syndrome (FBSS) is complex and recurrent chronic pain after spinal surgery. Several important patient and surgery related risk factors play roles in development of FBSS. Inadequate selection of the candidates for the spinal surgeries is one of the most crucial causes. The guidelines suggest that conservative management featuring pharmacologic approaches and rehabilitation should be introduced first. For therapy-refractory FBSS, spinal cord stimulation (SCS) is recommended in selected patients. Treatment efficacy for FBSS has increased over the years with the majority of patients experiencing pain relief and reduced medicinal load. Improved quality of life can also be achieved using SCS. Cost-effectiveness of SCS still remains unclear. However evidence for SCS role in FBSS is controversial, SCS can be beneficial for carefully classified patients.
